Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatras Arizona

Pediatras Arizona was paid $1.26M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoPEDIATRAS ARIZONA
PHOENIX, AZ 85016
33aNPI1427152164assigned 09/12/2006
33bProvider typePediatrics Physician
28Total paid$1.26M
24GClaims24,882
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Arizona

Rank by total paid#56 of 235
Median peer was paid$164K
This provider vs. median7.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20183,430$156K
20194,304$186K
20203,082$140K
20213,057$166K
20224,187$246K
20233,338$193K
2024incomplete3,484$173K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 8,861 8,146 $492K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17% 2,664 2,586 $214K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 1,677 1,668 $138K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10% 1,414 1,410 $128K
90460 Immunization administration through 18 years of age via any route, first or only component 8.9% 3,168 3,141 $113K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.2% 1,122 1,114 $90K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.4% 562 559 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.3% 836 786 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 326 323 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 240 240 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 113 112 $3K
0001A <1% 12 12 $480.00
18 more codes
0002A <1% 14 $480.00
96127 <1% 70 $327.60
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 12 $156.24
99173 <1% 1,565 $3.24
90680 0% 101 $0.00
90651 0% 158 $0.00
90686 0% 933 $0.00
90619 0% 104 $0.00
90723 0% 12 $0.00
90620 0% 119 $0.00
90656 0% 113 $0.00
90697 0% 13 $0.00
90670 0% 349 $0.00
90671 0% 58 $0.00
90734 0% 102 $0.00
99408 0% 93 $0.00
90648 0% 54 $0.00
90672 0% 17 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLLUSCO, JUAN (OWNER/PRESIDENT)