Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Adelante Healthcare, INC.

Adelante Healthcare, INC. was paid $245.88M by Medicaid between Jan 2018 and Dec 2024, across 174 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoADELANTE HEALTHCARE, INC.
PHOENIX, AZ 85012
33aNPI1528126133assigned 12/05/2006
28Total paid$245.88M
24GClaims2,277,275
24DCodes billed174
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Arizona

Rank by total paid#1 of 442
Median peer was paid$77K
This provider vs. median3,192×

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 POWELL, KRYSTAL controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M$6.0M2018201920202021202220232024
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
YearClaimsPaid
2018285,623$25.99M
2019305,568$29.22M
2020265,838$29.49M
2021304,367$35.59M
2022314,996$38.13M
2023409,415$43.20M
2024incomplete391,468$44.26M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 902,244 678,594 $244.81M
T1016 Case management, each 15 minutes <1% 33,074 20,037 $780K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 197 193 $158K
99238 Hospital discharge day management, 30 minutes or less <1% 466 461 $28K
99460 <1% 475 468 $27K
H0038 Self-help/peer services, per 15 minutes <1% 2,171 1,926 $17K
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 <1% 200,037 165,784 $14K
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% 293,494 236,582 $12K
59025 Fetal non-stress test <1% 1,193 644 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 24,643 21,978 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 12,587 11,287 $3K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 62,570 57,678 $2K
162 more codes
99463 <1% 32 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 20,135 $2K
99381 <1% 5,996 $1K
99204 Doctor's office visit, new patient (more involved) <1% 8,271 $1K
0012A <1% 1,885 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 19,935 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 6,149 $960.24
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 24,000 $955.48
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12,306 $892.51
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 458 $883.57
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 603 $803.70
92551 <1% 23,366 $468.51
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,740 $455.98
76801 <1% 916 $444.76
76830 Ultrasound, transvaginal <1% 355 $424.96
0011A <1% 2,015 $400.00
99462 <1% 13 $382.77
90791 Psychiatric diagnostic evaluation <1% 13,591 $357.27
90686 <1% 23,904 $344.34
90792 Psychiatric diagnostic evaluation with medical services <1% 7,270 $285.01
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13,192 $264.80
0001A <1% 1,374 $240.02
99215 Doctor's office visit, returning patient (complex) <1% 2,731 $204.86
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,881 $203.04
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 22,518 $202.16
99385 <1% 850 $198.71
99173 <1% 21,384 $189.28
99383 <1% 1,567 $182.27
90461 <1% 6,103 $163.18
90834 Psychotherapy session, about 45 minutes <1% 34,734 $141.21
99000 <1% 11,224 $124.68
96152 <1% 3,211 $112.96
90832 Psychotherapy session, about 30 minutes <1% 35,633 $106.30
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,228 $105.61
96156 <1% 8,291 $102.74
81025 <1% 20,043 $98.55
81003 <1% 46,541 $92.53
90472 Immunization administration, each additional vaccine (list separately) <1% 2,088 $90.58
99382 <1% 420 $85.24
0064A <1% 621 $83.00
94760 <1% 7,862 $70.38
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 7,170 $60.00
83036 Hemoglobin; glycosylated (A1C) <1% 21,512 $55.67
0002A <1% 916 $40.00
92587 <1% 2,830 $34.18
90715 <1% 7,535 $32.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,195 $30.42
99177 <1% 10,064 $18.08
36416 <1% 18,481 $13.88
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 9,301 $9.00
90670 <1% 14,104 $6.87
36415 Collection of venous blood by venipuncture <1% 1,867 $5.92
90710 <1% 4,185 $5.76
81002 <1% 4,475 $3.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 252 $2.78
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 430 $2.24
90698 <1% 8,715 $1.11
90680 <1% 8,895 $0.74
90651 <1% 4,556 $0.37
90744 <1% 4,367 $0.37
90734 <1% 2,628 $0.37
3074F 0% 27,450 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 325 $0.00
3079F 0% 8,676 $0.00
90647 0% 2,009 $0.00
90716 0% 497 $0.00
90696 0% 1,325 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 0% 1,519 $0.00
91303 0% 195 $0.00
93000 0% 1,911 $0.00
3080F 0% 1,913 $0.00
3075F 0% 5,022 $0.00
91301 0% 2,997 $0.00
90620 0% 587 $0.00
90619 0% 328 $0.00
82962 0% 2,507 $0.00
0134A 0% 153 $0.00
90697 0% 1,241 $0.00
85018 0% 2,107 $0.00
97802 0% 3,544 $0.00
90723 0% 1,191 $0.00
D1206 Topical application of fluoride varnish 0% 1,409 $0.00
96150 0% 476 $0.00
90677 0% 1,132 $0.00
D0120 Dental checkup, returning patient 0% 593 $0.00
99384 0% 565 $0.00
3044F 0% 1,444 $0.00
58300 0% 280 $0.00
H0004 Behavioral health counseling and therapy, per 15 minutes 0% 8,274 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 193 $0.00
G0008 Administration of influenza virus vaccine 0% 831 $0.00
91306 0% 199 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 432 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 209 $0.00
0031A 0% 344 $0.00
59430 0% 144 $0.00
90474 0% 86 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 0% 369 $0.00
91307 0% 317 $0.00
90656 0% 1,283 $0.00
90480 0% 132 $0.00
Q2039 Influenza virus vaccine, not otherwise specified 0% 81 $0.00
D0140 Limited oral evaluation - problem focused 0% 240 $0.00
90739 0% 27 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 0% 55 $0.00
D0603 0% 66 $0.00
96154 0% 50 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 61 $0.00
90688 0% 92 $0.00
96380 0% 87 $0.00
86580 0% 57 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 89 $0.00
D0272 Bitewings - two radiographic images 0% 37 $0.00
0072A 0% 352 $0.00
D1330 0% 51 $0.00
20610 0% 30 $0.00
99205 Prolong outpt/office vis 0% 25 $0.00
96127 0% 13 $0.00
99441 0% 68 $0.00
58301 0% 25 $0.00
91305 0% 144 $0.00
0081A 0% 12 $0.00
D1208 Topical application of fluoride, excluding varnish 0% 14 $0.00
3052F 0% 30 $0.00
99499 0% 6,120 $0.00
91300 0% 1,904 $0.00
3078F 0% 25,487 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 7,783 $0.00
90633 0% 6,664 $0.00
90837 Psychotherapy session, about an hour 0% 30,190 $0.00
96158 0% 2,025 $0.00
97803 0% 2,309 $0.00
90700 0% 602 $0.00
96160 0% 25 $0.00
H0031 Mental health assessment, by non-physician 0% 622 $0.00
3077F 0% 3,321 $0.00
D0190 0% 441 $0.00
D1120 Dental cleaning, child 0% 801 $0.00
D0220 Intraoral - periapical first radiographic image 0% 1,176 $0.00
0124A 0% 157 $0.00
90662 0% 811 $0.00
91320 0% 59 $0.00
94150 0% 231 $0.00
3051F 0% 99 $0.00
D0274 Bitewings - four radiographic images 0% 218 $0.00
90707 0% 467 $0.00
90621 0% 626 $0.00
3046F 0% 151 $0.00
91312 0% 94 $0.00
91313 0% 73 $0.00
0071A 0% 588 $0.00
0004A 0% 236 $0.00
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 0% 88 $0.00
96167 0% 29 $0.00
90473 0% 634 $0.00
90746 0% 28 $0.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 0% 15 $0.00
0054A 0% 61 $0.00
90685 0% 96 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 0% 17 $0.00
D1110 Prophylaxis - adult 0% 26 $0.00
69210 0% 21 $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 officialPOWELL, KRYSTAL (REVENUE CYCLE DIRECTOR)
Same official

Other billing entities under POWELL, KRYSTAL

Full network →
ProviderLocationPaid
Adelante Healthcare INCSurprise, AZ$1.88M
Adelante Healthcare, INC.Surprise, AZ$505K
Adelante Healthcare, INC.Buckeye, AZ$188K
Adelante Healthcare, INC.Goodyear, AZ$146K
Adelante Healthcare INCSurprise, AZ$64K
Adelante Healthcare, INCGoodyear, AZ$59K
Adelante Healthcare, INC.Peoria, AZ$44K
Adelante Healthcare, INC.Peoria, AZ$43K
Adelante Healthcare, INCMesa, AZ$33K
Adelante Healthcare, INCPhoenix, AZ$3K
Adelante Healthcare, INC.Wickenburg, AZ$205.19

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.