Clinic
Banner Enticare Tempe Surgery Center LLC
Banner Enticare Tempe Surgery Center LLC was paid $60K by Medicaid between Mar 2021 and Sep 2024, across 4 billing codes. Its largest line is 30520, — 39% of everything it billed.
33Billing provider infoBANNER ENTICARE TEMPE SURGERY CENTER LLC
TEMPE, AZ 85282
TEMPE, AZ 85282
33aNPI1437615929assigned 02/20/2019
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$60K
24GClaims137
24DCodes billed4
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Arizona
Rank by total paid#86 of 118
Median peer was paid$267K
This provider vs. median0.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 15 | $7K | |
| 2022 | 27 | $11K | |
| 2023 | 54 | $35K | |
| 2024incomplete | 41 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 30520 | 39% | 41 | 38 | $23K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 37% | 12 | 12 | $22K |
| 30802 | 20% | 70 | 68 | $12K | |
| 64483 | 4.6% | 14 | 12 | $3K |
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 officialMOSTAFAVI, HOMAN (MANAGER-MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Enticare PC | Chandler, AZ | $5.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.