Medicaid Provider Spending

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

ARIZONA GRAND MEDICAL CENTER PLLC

NPI: 1619998705 · PRESCOTT, AZ 86305 · Multi-Specialty Clinic/Center · NPI assigned 07/22/2006

$1.54M
Total Medicaid Paid
38,226
Total Claims
35,504
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMAYORAL, MELISSA (ACCOUNTS MANAGER)
Parent OrganizationARIZONA GRAND MEDICAL CENTER PLLC
NPI Enumeration Date07/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,419 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,581 14,452 $782K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,309 4,868 $199K
94729 3,796 3,594 $120K
94726 3,857 3,645 $118K
94060 3,327 3,138 $99K
95811 213 206 $85K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 470 449 $41K
99205 Prolong outpt/office vis 201 190 $21K
99245 106 106 $19K
95810 Polysomnography; sleep staging with 4 or more additional parameters 44 42 $19K
94010 708 684 $15K
95813 41 38 $9K
99244 Office or other outpatient consultation, moderate to high complexity 60 59 $8K
94664 281 252 $3K
99215 Prolong outpt/office vis 29 25 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $837.24
82962 463 411 $427.94
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 777 696 $59.61
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,074 1,044 $26.70
G8420 Bmi is documented within normal parameters and no follow-up plan is required 423 347 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 73 50 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,379 1,196 $0.00