Physician
Scottsdale Pediatrics and Pediatric Nephrology, PLLC
Scottsdale Pediatrics and Pediatric Nephrology, PLLC was paid $10.48M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoSCOTTSDALE PEDIATRICS AND PEDIATRIC NEPHROLOGY, PLLC
PHOENIX, AZ 85054
PHOENIX, AZ 85054
33aNPI1629076518assigned 07/13/2005
33bProvider typePediatrics Physician
28Total paid$10.48M
24GClaims215,199
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#6 of 235
Median peer was paid$164K
This provider vs. median64×
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 | 27,223 | $1.14M | |
| 2019 | 31,196 | $1.35M | |
| 2020 | 26,581 | $1.30M | |
| 2021 | 27,108 | $1.45M | |
| 2022 | 34,852 | $1.81M | |
| 2023 | 38,230 | $1.84M | |
| 2024incomplete | 30,009 | $1.58M |
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 | 25% | 37,052 | 34,163 | $2.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 43,213 | 40,733 | $2.20M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 33,697 | 32,921 | $1.14M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.4% | 14,217 | 13,734 | $990K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 13,290 | 13,065 | $980K |
| 41115 | 7.7% | 3,630 | 3,561 | $806K | |
| 40819 | 4.5% | 1,803 | 1,773 | $468K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 5,684 | 5,634 | $413K |
| 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 | 2.3% | 2,225 | 2,203 | $243K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 8,783 | 8,546 | $210K |
| 98929 | 1.2% | 1,639 | 1,061 | $122K | |
| 87428 | <1% | 938 | 912 | $49K |
44 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 605 | $49K |
| 99177 | <1% | 7,329 | $37K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,454 | $30K |
| 92551 | <1% | 7,699 | $26K | |
| 92587 | <1% | 1,535 | $20K | |
| 99381 | <1% | 233 | $18K | |
| 90461 | <1% | 407 | $15K | |
| 96160 | <1% | 8,934 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 550 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 448 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 84 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $7K |
| 0072A | <1% | 58 | $4K | |
| 0071A | <1% | 56 | $4K | |
| 99383 | <1% | 37 | $3K | |
| 96161 | <1% | 2,989 | $3K | |
| 99493 | <1% | 28 | $3K | |
| 96127 | <1% | 631 | $3K | |
| 99442 | <1% | 29 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| 99173 | <1% | 1,652 | $2K | |
| 99382 | <1% | 12 | $1K | |
| 99441 | <1% | 12 | $540.95 | |
| 99188 | <1% | 26 | $244.57 | |
| 96380 | <1% | 12 | $178.68 | |
| G9920 | Screening performed and negative | <1% | 54 | $176.72 |
| 90686 | <1% | 2,890 | $53.52 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $36.24 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 29 | $21.42 |
| 90670 | <1% | 3,610 | $15.52 | |
| 90698 | <1% | 1,956 | $5.68 | |
| 90680 | <1% | 1,266 | $5.68 | |
| 90744 | 0% | 564 | $0.00 | |
| 90716 | 0% | 384 | $0.00 | |
| 91307 | 0% | 28 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90707 | 0% | 345 | $0.00 | |
| 90633 | 0% | 372 | $0.00 | |
| 99072 | 0% | 789 | $0.00 | |
| 90700 | 0% | 159 | $0.00 | |
| 90671 | 0% | 178 | $0.00 | |
| 90713 | 0% | 51 | $0.00 | |
| 90648 | 0% | 110 | $0.00 | |
| 90685 | 0% | 308 | $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 officialAGARWAL, RAJEEV (OWNER/MEDICAL DIRECTOR)