Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CIRCLE THE CITY

NPI: 1487033247 · PHOENIX, AZ 85013 · Federally Qualified Health Center (FQHC) · NPI assigned 05/27/2015

$20.00M
Total Medicaid Paid
159,340
Total Claims
107,283
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELLERT, WILLIAM (CHIEF MEDICAL OFFICER)
NPI Enumeration Date05/27/2015

Related Entities

Other providers sharing the same authorized official: ELLERT, WILLIAM

ProviderCityStateTotal Paid
CIRCLE THE CITY PHOENIX AZ $30.71M
CIRCLE THE CITY PHOENIX AZ $17.28M
CIRCLE THE CITY PHOENIX AZ $13.97M
CIRCLE THE CITY PHOENIX AZ $829K
CIRCLE THE CITY PHOENIX AZ $827K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,659 $1.91M
2019 19,445 $1.64M
2020 26,498 $2.62M
2021 24,732 $2.95M
2022 21,095 $2.81M
2023 25,344 $3.76M
2024 26,567 $4.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 73,053 43,127 $19.99M
T1016 Case management, each 15 minutes 258 214 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,945 15,883 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,620 16,207 $2K
96152 777 557 $1K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 719 449 $937.17
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,191 3,737 $698.73
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,422 2,167 $205.24
99215 Prolong outpt/office vis 682 612 $101.25
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,072 2,398 $97.93
0031A 259 224 $80.00
90792 Psychiatric diagnostic evaluation with medical services 793 706 $72.35
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 354 335 $60.89
0011A 358 307 $16.94
96127 7,768 5,097 $7.48
96158 3,983 2,856 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 21 $0.00
82948 53 43 $0.00
90756 289 227 $0.00
90832 Psychotherapy, 30 minutes with patient 28 18 $0.00
90791 Psychiatric diagnostic evaluation 139 108 $0.00
81025 44 28 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 40 35 $0.00
0034A 19 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 877 732 $0.00
99406 611 478 $0.00
36415 Collection of venous blood by venipuncture 1,701 1,305 $0.00
99000 1,114 963 $0.00
82962 2,274 1,737 $0.00
99205 Prolong outpt/office vis 223 216 $0.00
36416 956 682 $0.00
83036 Hemoglobin; glycosylated (A1C) 1,150 1,025 $0.00
96156 3,720 3,175 $0.00
90674 423 397 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 237 203 $0.00
81000 493 412 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 103 54 $0.00
0064A 132 112 $0.00
91303 21 21 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 70 67 $0.00
91301 108 108 $0.00
90688 18 13 $0.00
0012A 217 215 $0.00