Physician
Escalera Health LLC
Escalera Health LLC was paid $4.97M by Medicaid between Oct 2018 and Dec 2024, across 30 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 28% of everything it billed.
33Billing provider infoESCALERA HEALTH LLC
TUCSON, AZ 85712
TUCSON, AZ 85712
33aNPI1487146171assigned 05/30/2018
33bProvider typePsychiatry Physician
28Total paid$4.97M
24GClaims62,973
24DCodes billed30
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Arizona
Rank by total paid#9 of 113
Median peer was paid$36K
This provider vs. median137×
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 | |
|---|---|---|---|
| 2018 | 140 | $7K | |
| 2019 | 4,215 | $231K | |
| 2020 | 9,471 | $650K | |
| 2021 | 11,468 | $879K | |
| 2022 | 11,500 | $769K | |
| 2023 | 12,084 | $1.05M | |
| 2024incomplete | 14,095 | $1.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 28% | 14,985 | 6,685 | $1.40M |
| 99222 | Initial hospital care, per day, moderate complexity | 16% | 8,324 | 8,078 | $815K |
| 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 | 11% | 10,086 | 8,687 | $555K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 11% | 8,458 | 3,822 | $534K |
| 99223 | Prolong inpt eval add15 m | 10% | 3,969 | 3,882 | $509K |
| H0031 | Mental health assessment, by non-physician | 6.2% | 3,053 | 2,828 | $309K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 4,302 | 3,719 | $305K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.8% | 4,890 | 3,029 | $288K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 1,644 | 1,125 | $120K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 985 | 899 | $41K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 502 | 426 | $37K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 261 | 215 | $14K |
18 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 236 | $14K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 133 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 96 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 39 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 131 | $3K |
| 99490 | Ccm add 20min | <1% | 359 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 43 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $2K |
| 99385 | <1% | 14 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| T1016 | Case management, each 15 minutes | <1% | 163 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 73 | $930.25 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | $554.66 |
| 90682 | <1% | 25 | $232.23 | |
| 99000 | <1% | 21 | $103.60 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 12 | $29.96 |
| 99406 | <1% | 33 | $20.34 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | $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 officialHUDSON, EDWARD (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Sunbelt Medical Group LLC | Tucson, AZ | $425K |
| Escalera Health, LLC | Tucson, AZ | $316K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.