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.
PHOENIX, AZ 85012
Next to other Family Medicine Physician providers in Arizona
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 285,623 | $25.99M | |
| 2019 | 305,568 | $29.22M | |
| 2020 | 265,838 | $29.49M | |
| 2021 | 304,367 | $35.59M | |
| 2022 | 314,996 | $38.13M | |
| 2023 | 409,415 | $43.20M | |
| 2024incomplete | 391,468 | $44.26M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Adelante Healthcare INC | Surprise, AZ | $1.88M |
| Adelante Healthcare, INC. | Surprise, AZ | $505K |
| Adelante Healthcare, INC. | Buckeye, AZ | $188K |
| Adelante Healthcare, INC. | Goodyear, AZ | $146K |
| Adelante Healthcare INC | Surprise, AZ | $64K |
| Adelante Healthcare, INC | Goodyear, AZ | $59K |
| Adelante Healthcare, INC. | Peoria, AZ | $44K |
| Adelante Healthcare, INC. | Peoria, AZ | $43K |
| Adelante Healthcare, INC | Mesa, AZ | $33K |
| Adelante Healthcare, INC | Phoenix, 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.