Physician
Surprise Health Center, PLLC
Surprise Health Center, PLLC was paid $1.20M by Medicaid between Jan 2018 and Oct 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoSURPRISE HEALTH CENTER, PLLC
SURPRISE, AZ 85374
SURPRISE, AZ 85374
33aNPI1467563718assigned 08/31/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.20M
24GClaims38,067
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#48 of 395
Median peer was paid$68K
This provider vs. median18×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CASTILLO, EMILY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 10,082 | $240K | |
| 2019 | 5,592 | $155K | |
| 2020 | 4,663 | $143K | |
| 2021 | 5,957 | $230K | |
| 2022 | 5,482 | $225K | |
| 2023 | 4,511 | $144K | |
| 2024incomplete | 1,780 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 6,189 | 5,437 | $350K |
| 99336 | 15% | 7,382 | 6,037 | $181K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 3,418 | 1,356 | $148K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,586 | 3,198 | $142K |
| 99337 | 4.5% | 1,340 | 1,041 | $54K | |
| 11721 | 4.5% | 4,882 | 4,296 | $54K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.2% | 1,835 | 698 | $38K |
| 99349 | 3.1% | 938 | 921 | $37K | |
| 99223 | Prolong inpt eval add15 m | 2.4% | 277 | 252 | $29K |
| 11056 | 2.4% | 1,605 | 1,434 | $29K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.0% | 370 | 231 | $24K |
| 99442 | 1.6% | 377 | 362 | $19K |
30 more codes
| 11000 | 1.2% | 2,088 | $14K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 143 | $14K |
| 99335 | 1.0% | 573 | $12K | |
| 99221 | <1% | 155 | $11K | |
| 99493 | <1% | 205 | $10K | |
| 99348 | <1% | 649 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 67 | $7K |
| 99443 | <1% | 31 | $3K | |
| 99494 | <1% | 59 | $2K | |
| 99347 | <1% | 91 | $2K | |
| 99492 | <1% | 30 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 90674 | <1% | 196 | $1K | |
| 99441 | <1% | 48 | $971.57 | |
| 90686 | <1% | 73 | $752.18 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | $743.60 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33 | $621.28 |
| 0011A | <1% | 12 | $480.80 | |
| 94760 | <1% | 696 | $472.78 | |
| 99334 | <1% | 39 | $472.17 | |
| 99484 | <1% | 16 | $243.09 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 31 | $175.64 |
| 11057 | <1% | 205 | $154.81 | |
| 11055 | <1% | 30 | $94.22 | |
| 81002 | <1% | 26 | $65.43 | |
| G0008 | Administration of influenza virus vaccine | <1% | 52 | $32.49 |
| 99499 | <1% | 216 | $0.02 | |
| 3078F | 0% | 13 | $0.00 | |
| 1159F | 0% | 25 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $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 officialCASTILLO, EMILY (REGIONAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Optumcare New Mexico LLC | Albuquerque, NM | $23.64M |
| Southwest Medical Associates, INC | Las Vegas, NV | $15.80M |
| Optumcare Colorado Medical Group LLC | Colorado Springs, CO | $8.74M |
| The Corvallis Clinic P C | Corvallis, OR | $8.06M |
| Optum Medical Group II Rhodes P C | Las Vegas, NV | $6.70M |
| Sierra Home Medical Products INC | Las Vegas, NV | $6.20M |
| Southwest Medical Associates INC. | Las Vegas, NV | $5.20M |
| Optum Medical Group Rhodes P C | Las Vegas, NV | $4.43M |
| Family Health Care Services, INC | Las Vegas, NV | $4.39M |
| 4C Medical Group PLC | Scottsdale, AZ | $4.28M |
| Greater Phoenix Collaborative Care PC | Phoenix, AZ | $3.18M |
| Beaver Medical Group P C | Redlands, CA | $2.88M |
| Sierra Home Medical Products, INC | Las Vegas, NV | $2.40M |
| Centers for Family Medicine GP | Los Alamitos, CA | $2.39M |
| Optum Medical Group II Rhodes P C | Las Vegas, NV | $1.77M |
| Family Home Hospice, INC. | Las Vegas, NV | $1.42M |
| Doc Martins INC a C C | Flagstaff, AZ | $1.08M |
| New West Physicians INC | Golden, CO | $970K |
| Southwest Medical Associates, INC | Las Vegas, NV | $612K |
| Warner Family Practice, PC | Chandler, AZ | $207K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.