Managed care
Gila Internal Medicine & Geriatric P C
Gila Internal Medicine & Geriatric P C was paid $5.51M by Medicaid between Jan 2018 and Nov 2024, across 122 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoGILA INTERNAL MEDICINE & GERIATRIC P C
TEMPE, AZ 85283
TEMPE, AZ 85283
33aNPI1609921378assigned 01/24/2007
33bProvider typeExclusive Provider Organization
28Total paid$5.51M
24GClaims250,317
24DCodes billed122
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Arizona
Rank by total paid#1 of 5
Median peer was paid$182K
This provider vs. median30×
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 | 52,496 | $678K | |
| 2019 | 51,854 | $635K | |
| 2020 | 41,469 | $699K | |
| 2021 | 33,244 | $1.08M | |
| 2022 | 30,041 | $1.04M | |
| 2023 | 26,068 | $841K | |
| 2024incomplete | 15,145 | $544K |
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 | 60% | 63,043 | 52,869 | $3.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 22,751 | 19,571 | $928K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.7% | 1,603 | 1,550 | $147K |
| 95923 | 2.1% | 1,416 | 1,378 | $117K | |
| 95943 | 1.6% | 810 | 793 | $88K | |
| 93922 | 1.4% | 1,473 | 1,428 | $77K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.2% | 518 | 96 | $63K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 632 | 609 | $61K |
| 95144 | 1.1% | 494 | 78 | $61K | |
| 99454 | 1.0% | 2,010 | 1,966 | $56K | |
| 99441 | <1% | 1,287 | 1,211 | $47K | |
| 99457 | <1% | 1,826 | 1,791 | $43K |
110 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 474 | $40K |
| 95921 | <1% | 617 | $37K | |
| 93000 | <1% | 3,819 | $34K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,105 | $33K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 199 | $33K |
| 20553 | <1% | 912 | $27K | |
| 94760 | <1% | 40,431 | $25K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,440 | $22K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 224 | $21K |
| 82962 | <1% | 16,887 | $20K | |
| 76942 | <1% | 921 | $15K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 164 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 211 | $13K |
| 87428 | <1% | 490 | $12K | |
| 99490 | Ccm add 20min | <1% | 1,835 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 397 | $12K |
| 87799 | <1% | 233 | $10K | |
| 96160 | <1% | 3,615 | $8K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,004 | $5K |
| 0011A | <1% | 138 | $5K | |
| 87492 | <1% | 204 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 231 | $5K |
| 0012A | <1% | 111 | $4K | |
| 87592 | <1% | 204 | $4K | |
| 87512 | <1% | 204 | $4K | |
| 87652 | <1% | 204 | $4K | |
| 87641 | <1% | 226 | $4K | |
| 99458 | <1% | 368 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 126 | $4K |
| 99442 | <1% | 380 | $4K | |
| 87640 | <1% | 219 | $4K | |
| 92250 | <1% | 116 | $4K | |
| 87500 | <1% | 204 | $3K | |
| 81002 | <1% | 1,641 | $3K | |
| 87653 | <1% | 197 | $3K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 199 | $3K |
| 87481 | <1% | 193 | $3K | |
| 0013A | <1% | 61 | $3K | |
| 90662 | <1% | 268 | $3K | |
| 99453 | <1% | 256 | $3K | |
| 99397 | <1% | 55 | $3K | |
| 90686 | <1% | 237 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 289 | $2K |
| 99439 | <1% | 244 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,525 | $2K |
| 90682 | <1% | 63 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 60 | $2K |
| 99497 | <1% | 363 | $1K | |
| 99386 | <1% | 12 | $1K | |
| 81025 | <1% | 208 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 475 | $998.26 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 44 | $884.22 |
| 99173 | <1% | 455 | $875.92 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,000 | $874.33 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 32 | $842.98 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 584 | $829.83 |
| 99402 | <1% | 15 | $763.87 | |
| 99000 | <1% | 1,409 | $763.66 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 53 | $586.84 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | $420.35 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 15 | $400.50 |
| 94664 | <1% | 34 | $354.30 | |
| 97032 | <1% | 43 | $348.11 | |
| 92551 | <1% | 52 | $329.77 | |
| 92228 | <1% | 12 | $311.77 | |
| 97016 | <1% | 43 | $279.63 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 172 | $265.99 |
| G0008 | Administration of influenza virus vaccine | <1% | 200 | $141.24 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 69 | $108.83 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $105.63 |
| 99406 | <1% | 53 | $76.40 | |
| 94761 | <1% | 161 | $59.70 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 199 | $54.86 |
| 99487 | Ccm add 20min | <1% | 54 | $47.64 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 68 | $38.66 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 189 | $37.99 |
| 36416 | <1% | 846 | $20.68 | |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 68 | $13.89 |
| 1160F | <1% | 14,395 | $3.66 | |
| 1159F | <1% | 17,760 | $3.64 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 39 | $1.78 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 2,147 | $0.96 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,802 | $0.81 |
| 1125F | <1% | 663 | $0.09 | |
| 3008F | <1% | 1,376 | $0.07 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 6,150 | $0.03 |
| 3078F | <1% | 2,161 | $0.03 | |
| 1123F | <1% | 1,988 | $0.01 | |
| 91301 | <1% | 44 | $0.01 | |
| 3074F | 0% | 1,640 | $0.00 | |
| 3079F | 0% | 156 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,310 | $0.00 |
| 1170F | 0% | 482 | $0.00 | |
| 1036F | 0% | 2,415 | $0.00 | |
| 1000F | 0% | 147 | $0.00 | |
| 3075F | 0% | 63 | $0.00 | |
| 3044F | 0% | 71 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 34 | $0.00 |
| 96127 | 0% | 20 | $0.00 | |
| 3061F | 0% | 35 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,237 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 803 | $0.00 |
| 3725F | 0% | 184 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 987 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 70 | $0.00 |
| 3016F | 0% | 142 | $0.00 | |
| 99499 | 0% | 687 | $0.00 | |
| 3077F | 0% | 213 | $0.00 | |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 0% | 16 | $0.00 |
| 0521F | 0% | 30 | $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 officialCIFUENTES, AURELIANO (MD/OWNER)