Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WEST VALLEY PEDIATRICS, P.C.

NPI: 1619195971 · AVONDALE, AZ 85323 · Pediatrics Physician · NPI assigned 04/23/2007

$6.86M
Total Medicaid Paid
178,578
Total Claims
172,647
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERNANDEZ, HALLIE (OFFICE MANAGER)
NPI Enumeration Date04/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,077 $862K
2019 26,494 $857K
2020 22,766 $776K
2021 23,842 $963K
2022 27,049 $1.15M
2023 26,881 $1.17M
2024 24,469 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,655 36,875 $1.96M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,052 17,740 $1.34M
90460 Immunization administration through 18 years of age via any route, first or only component 33,760 33,293 $1.27M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,281 13,184 $1.04M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,369 6,343 $490K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,335 3,200 $242K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,325 1,308 $112K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,260 4,199 $76K
99460 921 906 $61K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,713 1,695 $43K
99238 Hospital discharge day management, 30 minutes or less 720 707 $42K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,344 3,186 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,188 1,152 $38K
90472 Immunization administration, each additional vaccine (list separately) 962 949 $28K
99381 157 157 $13K
96160 3,761 3,743 $10K
69210 226 221 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 624 490 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 465 381 $6K
0071A 145 145 $6K
0072A 153 153 $6K
99463 77 77 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 410 399 $5K
99188 145 143 $1K
99177 57 57 $1K
99383 14 14 $1K
69209 66 66 $692.15
94760 735 658 $623.46
90677 1,139 970 $485.15
83655 40 39 $444.85
90686 6,105 5,619 $382.89
90480 12 12 $349.31
96127 71 70 $295.68
96380 14 14 $229.96
90680 7,746 7,338 $107.04
90670 10,269 9,808 $92.29
90620 65 51 $87.49
85018 26 26 $58.83
90633 2,303 2,206 $57.61
36415 Collection of venous blood by venipuncture 15 15 $35.59
81002 14 13 $35.31
90656 87 55 $24.34
90698 9,419 9,006 $23.48
36416 92 79 $6.50
90744 3,266 3,133 $5.47
99072 601 534 $0.00
90707 176 167 $0.00
90685 555 537 $0.00
G9920 Screening performed and negative 99 99 $0.00
90715 14 14 $0.00
90710 56 56 $0.00
90734 76 67 $0.00
90700 56 52 $0.00
90648 27 25 $0.00
90651 268 259 $0.00
90697 680 581 $0.00
90716 296 291 $0.00
90696 59 58 $0.00
90619 12 12 $0.00