Estrella Specialty Medical Care P C

Estrella Specialty Medical Care P C was paid $213K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoESTRELLA SPECIALTY MEDICAL CARE P C
PHOENIX, AZ 85037

33aNPI1538239876assigned 11/08/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$213K

24GClaims6,773

24DCodes billed13

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Arizona

Rank by total paid#49 of 104

Median peer was paid$181K

This provider vs. median1.2×

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	1,401	$55K
2019	847	$27K
2020	802	$31K
2021	1,147	$34K
2022	1,077	$26K
2023	945	$23K
2024incomplete	554	$17K

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	67%	2,933	2,698	$143K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	1,764	1,648	$65K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	118	105	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	13	13	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$1K
90686		<1%	61	56	$886.12
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	34	31	$556.24
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	13	13	$195.12
81002		<1%	13	13	$30.47
99499		<1%	1,725	1,401	$10.03
G0008	Administration of influenza virus vaccine	<1%	39	29	$6.32
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	31	29	$0.00

1 more codes

4013F

$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 officialHERRERA-TAN, HERMINIA (OWNER)