Physician
Arizona Pediatric Clinics PLLC
Arizona Pediatric Clinics PLLC was paid $3.25M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoARIZONA PEDIATRIC CLINICS PLLC
PHOENIX, AZ 85034
PHOENIX, AZ 85034
33aNPI1497964449assigned 05/22/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$3.25M
24GClaims95,439
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Arizona
Rank by total paid#1 of 11
Median peer was paid$974K
This provider vs. median3.3×
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 | 20,679 | $584K | |
| 2019 | 19,109 | $570K | |
| 2020 | 13,042 | $435K | |
| 2021 | 12,206 | $472K | |
| 2022 | 12,416 | $511K | |
| 2023 | 11,202 | $417K | |
| 2024incomplete | 6,785 | $263K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 25,569 | 22,503 | $1.36M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 4,615 | 4,582 | $398K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 11,509 | 11,370 | $342K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 3,519 | 3,488 | $274K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.9% | 8,509 | 8,133 | $257K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 2,168 | 2,154 | $171K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 1,668 | 1,640 | $125K |
| 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 | 3.8% | 1,590 | 1,562 | $122K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.2% | 779 | 776 | $72K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,203 | 2,126 | $30K |
| 92567 | <1% | 1,717 | 1,565 | $22K | |
| 85014 | <1% | 7,084 | 7,036 | $17K |
33 more codes
| 85018 | <1% | 7,080 | $17K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,056 | $14K |
| 86580 | <1% | 1,467 | $9K | |
| 81002 | <1% | 2,226 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 202 | $5K |
| 96160 | <1% | 1,129 | $2K | |
| 90480 | <1% | 60 | $1K | |
| 90686 | <1% | 5,147 | $1K | |
| 96127 | <1% | 121 | $568.24 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $442.73 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $392.11 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $344.46 |
| 90656 | <1% | 259 | $308.55 | |
| 99188 | <1% | 25 | $267.28 | |
| 91321 | <1% | 35 | $250.11 | |
| 94664 | <1% | 15 | $220.76 | |
| 91322 | <1% | 36 | $154.05 | |
| 90651 | <1% | 1,006 | $46.29 | |
| 90688 | <1% | 385 | $16.43 | |
| 90619 | <1% | 124 | $15.43 | |
| 90734 | <1% | 770 | $15.43 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 15 | $1.30 |
| 90620 | 0% | 1,209 | $0.00 | |
| 90723 | 0% | 294 | $0.00 | |
| 90680 | 0% | 125 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90648 | 0% | 620 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90670 | 0% | 673 | $0.00 | |
| 90671 | 0% | 101 | $0.00 | |
| 90685 | 0% | 36 | $0.00 | |
| 90633 | 0% | 132 | $0.00 | |
| 90715 | 0% | 74 | $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 officialQUIROZ, EDWARD (PRESIDENT AND OWNER)