Agency
Salt River Pima-Maricopa Indian Community
Salt River Pima-Maricopa Indian Community was paid $42.91M by Medicaid between Feb 2022 and Dec 2024, across 207 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 infoSALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
SCOTTSDALE, AZ 85256
SCOTTSDALE, AZ 85256
33aNPI1538583125assigned 02/18/2014
33bProvider typeHome Health Agency
28Total paid$42.91M
24GClaims227,618
24DCodes billed207
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Arizona
Rank by total paid#14 of 179
Median peer was paid$716K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2022 | 60,908 | $11.42M | |
| 2023 | 97,485 | $17.08M | |
| 2024incomplete | 69,225 | $14.40M |
Box 24 · Service lines
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% | 63,806 | 39,603 | $42.75M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,269 | 1,331 | $140K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,533 | 1,256 | $18K |
| 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% | 14,628 | 12,456 | $2K |
| 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% | 8,245 | 7,488 | $656.60 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 851 | 673 | $211.38 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,195 | 1,194 | $35.23 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 481 | 479 | $35.23 |
| G0490 | Face-to-face home health nursing visit by a rural health clinic (rhc) or federally qualified health center (fqhc) in an area with a shortage of home health agencies; (services limited to rn or lpn only) | <1% | 319 | 97 | $33.69 |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,399 | 3,255 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,814 | 2,706 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 3,370 | 3,325 | $0.00 |
195 more codes
| D0210 | Intraoral - complete series of radiographic images | 0% | 1,553 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 3,683 | $0.00 |
| D1330 | 0% | 4,115 | $0.00 | |
| 90723 | 0% | 342 | $0.00 | |
| D2331 | 0% | 383 | $0.00 | |
| 90647 | 0% | 335 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,169 | $0.00 |
| 82043 | 0% | 1,085 | $0.00 | |
| 92250 | 0% | 2,237 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 6,079 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 1,718 | $0.00 |
| 99606 | 0% | 437 | $0.00 | |
| D1310 | 0% | 4,005 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 223 | $0.00 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 1,459 | $0.00 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 394 | $0.00 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 82 | $0.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 186 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 82 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 496 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 267 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 2,059 | $0.00 |
| 99000 | 0% | 3,308 | $0.00 | |
| D0603 | 0% | 854 | $0.00 | |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 851 | $0.00 |
| 91309 | 0% | 27 | $0.00 | |
| 36416 | 0% | 1,740 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 2,212 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 1,502 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 260 | $0.00 |
| 91307 | 0% | 44 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 1,485 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 1,031 | $0.00 |
| 91301 | 0% | 25 | $0.00 | |
| D9215 | 0% | 194 | $0.00 | |
| 99383 | 0% | 44 | $0.00 | |
| D4342 | 0% | 51 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,469 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 785 | $0.00 |
| 99443 | 0% | 109 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 518 | $0.00 |
| 86780 | 0% | 282 | $0.00 | |
| 82962 | 0% | 4,623 | $0.00 | |
| 81001 | 0% | 274 | $0.00 | |
| 96380 | 0% | 18 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 2,367 | $0.00 |
| 97802 | 0% | 63 | $0.00 | |
| 92587 | 0% | 122 | $0.00 | |
| 90656 | 0% | 342 | $0.00 | |
| 85018 | 0% | 131 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 3,060 | $0.00 |
| 82607 | 0% | 352 | $0.00 | |
| D0470 | 0% | 41 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 2,258 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 260 | $0.00 |
| 90651 | 0% | 296 | $0.00 | |
| 92551 | 0% | 121 | $0.00 | |
| D4346 | 0% | 96 | $0.00 | |
| 82728 | 0% | 23 | $0.00 | |
| D0602 | 0% | 263 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 28 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 106 | $0.00 |
| D1320 | 0% | 533 | $0.00 | |
| 90680 | 0% | 183 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 12 | $0.00 |
| 90480 | 0% | 479 | $0.00 | |
| 90674 | 0% | 411 | $0.00 | |
| 99174 | 0% | 113 | $0.00 | |
| 90677 | 0% | 259 | $0.00 | |
| 99607 | 0% | 244 | $0.00 | |
| 93000 | 0% | 30 | $0.00 | |
| 97162 | 0% | 12 | $0.00 | |
| 90686 | 0% | 873 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 110 | $0.00 |
| 90696 | 0% | 28 | $0.00 | |
| D2330 | 0% | 159 | $0.00 | |
| D0601 | 0% | 88 | $0.00 | |
| 90619 | 0% | 65 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 82 | $0.00 |
| 83550 | 0% | 23 | $0.00 | |
| D2335 | 0% | 145 | $0.00 | |
| 92558 | 0% | 12 | $0.00 | |
| 87088 | 0% | 190 | $0.00 | |
| 99381 | 0% | 15 | $0.00 | |
| 0134A | 0% | 136 | $0.00 | |
| 90381 | 0% | 14 | $0.00 | |
| 90694 | 0% | 18 | $0.00 | |
| 96127 | 0% | 147 | $0.00 | |
| 11730 | 0% | 39 | $0.00 | |
| 86140 | 0% | 12 | $0.00 | |
| 90620 | 0% | 25 | $0.00 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 62 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 31 | $0.00 |
| 87536 | 0% | 13 | $0.00 | |
| 84703 | 0% | 28 | $0.00 | |
| 91305 | 0% | 39 | $0.00 | |
| 81000 | 0% | 33 | $0.00 | |
| 92310 | 0% | 12 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 12 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 27 | $0.00 |
| 90739 | 0% | 12 | $0.00 | |
| 0094A | 0% | 27 | $0.00 | |
| V5008 | Hearing screening | 0% | 14 | $0.00 |
| 90670 | 0% | 256 | $0.00 | |
| 81003 | 0% | 496 | $0.00 | |
| D4910 | 0% | 837 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,354 | $0.00 |
| 97161 | 0% | 241 | $0.00 | |
| 83655 | 0% | 32 | $0.00 | |
| 11721 | 0% | 768 | $0.00 | |
| D0191 | 0% | 1,352 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 176 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 1,399 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 2,053 | $0.00 |
| D0190 | 0% | 8,272 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 1,099 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 456 | $0.00 |
| D0270 | 0% | 1,914 | $0.00 | |
| 82570 | 0% | 1,286 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 970 | $0.00 |
| 90633 | 0% | 176 | $0.00 | |
| D0180 | 0% | 2,175 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 6,030 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 392 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,690 | $0.00 |
| 3210F | 0% | 12 | $0.00 | |
| 91312 | 0% | 45 | $0.00 | |
| 11056 | 0% | 88 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 509 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 697 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 267 | $0.00 |
| 92015 | Determination of refractive state | 0% | 2,550 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 3,892 | $0.00 |
| D2940 | 0% | 393 | $0.00 | |
| 90461 | 0% | 783 | $0.00 | |
| 0124A | 0% | 45 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 282 | $0.00 |
| 90715 | 0% | 518 | $0.00 | |
| 81025 | 0% | 300 | $0.00 | |
| 92133 | 0% | 431 | $0.00 | |
| 80074 | 0% | 556 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 275 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 284 | $0.00 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 199 | $0.00 |
| 91300 | 0% | 69 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 638 | $0.00 |
| D4341 | 0% | 1,644 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 209 | $0.00 |
| 92134 | 0% | 886 | $0.00 | |
| 80061 | Lipid panel | 0% | 1,180 | $0.00 |
| 92083 | 0% | 157 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 16 | $0.00 |
| 84702 | 0% | 84 | $0.00 | |
| 99173 | 0% | 340 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 51 | $0.00 |
| 84466 | 0% | 23 | $0.00 | |
| 97803 | 0% | 24 | $0.00 | |
| 99442 | 0% | 100 | $0.00 | |
| 69210 | 0% | 45 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 29 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 584 | $0.00 |
| 92552 | 0% | 488 | $0.00 | |
| 99177 | 0% | 143 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 203 | $0.00 |
| 3028F | 0% | 31 | $0.00 | |
| D1354 | 0% | 421 | $0.00 | |
| 76514 | 0% | 69 | $0.00 | |
| 91321 | 0% | 30 | $0.00 | |
| 91320 | 0% | 123 | $0.00 | |
| D9110 | 0% | 151 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 187 | $0.00 |
| 99071 | 0% | 214 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 175 | $0.00 |
| 91313 | 0% | 137 | $0.00 | |
| 90734 | 0% | 61 | $0.00 | |
| D2394 | 0% | 31 | $0.00 | |
| 83540 | 0% | 23 | $0.00 | |
| 96160 | 0% | 45 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 111 | $0.00 |
| D0350 | 0% | 27 | $0.00 | |
| D3221 | 0% | 24 | $0.00 | |
| 0502F | 0% | 46 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 24 | $0.00 |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 0% | 32 | $0.00 |
| 98960 | 0% | 73 | $0.00 | |
| 81002 | 0% | 66 | $0.00 | |
| 91322 | 0% | 203 | $0.00 | |
| 90750 | 0% | 13 | $0.00 | |
| 90710 | 0% | 30 | $0.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 13 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 42 | $0.00 |
| 99347 | 0% | 13 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 12 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 13 | $0.00 |
| 90473 | 0% | 14 | $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 officialHERNANDEZ, FRANCES (RCM MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Salt River Pima-Maricopa Indian Community | Scottsdale, AZ | $865K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.