Clinic
Arizona Grand Medical Center PLLC
Arizona Grand Medical Center PLLC was paid $1.54M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoARIZONA GRAND MEDICAL CENTER PLLC
PRESCOTT, AZ 86305
PRESCOTT, AZ 86305
33aNPI1619998705assigned 07/22/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.54M
24GClaims38,226
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Arizona
Rank by total paid#30 of 76
Median peer was paid$899K
This provider vs. median1.7×
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 | 13,094 | $456K | |
| 2019 | 6,329 | $256K | |
| 2020 | 4,038 | $171K | |
| 2021 | 4,244 | $178K | |
| 2022 | 5,250 | $250K | |
| 2023 | 3,852 | $174K | |
| 2024incomplete | 1,419 | $56K |
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 | 51% | 15,581 | 14,452 | $782K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 5,309 | 4,868 | $199K |
| 94729 | 7.8% | 3,796 | 3,594 | $120K | |
| 94726 | 7.7% | 3,857 | 3,645 | $118K | |
| 94060 | 6.4% | 3,327 | 3,138 | $99K | |
| 95811 | 5.5% | 213 | 206 | $85K | |
| 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 | 2.7% | 470 | 449 | $41K |
| 99205 | Prolong outpt/office vis | 1.4% | 201 | 190 | $21K |
| 99245 | 1.3% | 106 | 106 | $19K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.2% | 44 | 42 | $19K |
| 94010 | <1% | 708 | 684 | $15K | |
| 95813 | <1% | 41 | 38 | $9K |
10 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 60 | $8K |
| 94664 | <1% | 281 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $837.24 |
| 82962 | <1% | 463 | $427.94 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 777 | $59.61 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 1,074 | $26.70 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 423 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 73 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,379 | $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 officialMAYORAL, MELISSA (ACCOUNTS MANAGER)
Parent organizationARIZONA GRAND MEDICAL CENTER PLLC