Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Sun Valley Pediatric and Family Urgent Care PC

Sun Valley Pediatric and Family Urgent Care PC was paid $1.69M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoSUN VALLEY PEDIATRIC AND FAMILY URGENT CARE PC
CHANDLER, AZ 85225
33aNPI1629458468assigned 06/07/2015
28Total paid$1.69M
24GClaims35,034
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Arizona

Rank by total paid#27 of 81
Median peer was paid$312K
This provider vs. median5.4×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20183,945$151K
20195,519$159K
20204,267$139K
20215,736$311K
20227,519$431K
20234,812$302K
2024incomplete3,236$201K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 10,635 9,536 $594K
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 33% 7,558 7,042 $560K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16% 4,211 4,095 $276K
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 15% 2,677 2,633 $247K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 675 613 $7K
94760 <1% 4,077 3,553 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 126 111 $2K
0013A <1% 15 15 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 23 21 $952.26
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 287 257 $272.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,441 2,354 $197.87
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 161 149 $114.17
11 more codes
J7609 Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg <1% 117 $9.15
3210F <1% 378 $5.87
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 0% 170 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 64 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 125 $0.00
81005 0% 18 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 223 $0.00
81003 0% 64 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 732 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 0% 240 $0.00
81002 0% 17 $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 officialTHOMAS, SHIBU (PRACTICE MANAGER)