Physician
Canton Pediatrics P.C.
Canton Pediatrics P.C. was paid $5.48M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoCANTON PEDIATRICS P.C.
PHOENIX, AZ 85040
PHOENIX, AZ 85040
33aNPI1487758843assigned 09/07/2006
33bProvider typePediatrics Physician
28Total paid$5.48M
24GClaims98,922
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#20 of 235
Median peer was paid$164K
This provider vs. median33×
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 | 21,568 | $982K | |
| 2019 | 19,097 | $905K | |
| 2020 | 14,085 | $731K | |
| 2021 | 12,557 | $804K | |
| 2022 | 12,783 | $847K | |
| 2023 | 10,747 | $717K | |
| 2024incomplete | 8,085 | $489K |
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 | 55% | 37,068 | 30,436 | $3.00M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 14,010 | 12,447 | $801K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 3,930 | 3,918 | $360K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.3% | 10,871 | 10,670 | $345K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 3,944 | 3,936 | $329K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 2,236 | 2,225 | $187K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 1,411 | 1,354 | $109K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 805 | 805 | $76K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 671 | 531 | $68K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,011 | 2,836 | $43K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,050 | 1,044 | $27K |
| 0001A | <1% | 319 | 317 | $18K |
49 more codes
| 86580 | <1% | 2,305 | $17K | |
| 0002A | <1% | 277 | $17K | |
| 0072A | <1% | 188 | $15K | |
| 0071A | <1% | 167 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 489 | $9K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 584 | $8K |
| 0003A | <1% | 95 | $6K | |
| 99000 | <1% | 2,207 | $5K | |
| 0124A | <1% | 52 | $4K | |
| 90674 | <1% | 1,043 | $3K | |
| 99383 | <1% | 25 | $2K | |
| 99381 | <1% | 25 | $2K | |
| 0073A | <1% | 29 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 124 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 37 | $2K |
| 99188 | <1% | 98 | $1K | |
| 94010 | <1% | 44 | $1K | |
| 69210 | <1% | 33 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 121 | $902.05 |
| 90671 | <1% | 29 | $777.74 | |
| 99173 | <1% | 233 | $588.52 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 502 | $585.30 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 541 | $437.32 |
| 94761 | <1% | 447 | $400.29 | |
| 96127 | <1% | 69 | $332.93 | |
| 90651 | <1% | 794 | $169.73 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 585 | $114.68 |
| 90734 | <1% | 722 | $92.58 | |
| 90686 | <1% | 2,279 | $63.26 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 443 | $53.49 |
| 90670 | <1% | 742 | $50.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 189 | $18.42 |
| 90700 | <1% | 316 | $11.32 | |
| 91300 | <1% | 248 | $0.59 | |
| 91307 | <1% | 30 | $0.30 | |
| 90648 | 0% | 101 | $0.00 | |
| 90621 | 0% | 1,079 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 143 | $0.00 |
| 90713 | 0% | 42 | $0.00 | |
| 90715 | 0% | 119 | $0.00 | |
| 90707 | 0% | 259 | $0.00 | |
| 90633 | 0% | 267 | $0.00 | |
| 90685 | 0% | 41 | $0.00 | |
| 90688 | 0% | 428 | $0.00 | |
| 90698 | 0% | 256 | $0.00 | |
| 90716 | 0% | 293 | $0.00 | |
| 90723 | 0% | 24 | $0.00 | |
| 90680 | 0% | 324 | $0.00 | |
| 90744 | 0% | 108 | $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 officialCANTON, LUCAS (OWNER)