Hospital
Maricopa County Special Health Care District
Maricopa County Special Health Care District was paid $14.46M by Medicaid between Jan 2018 and Dec 2024, across 140 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
PHOENIX, AZ 85004
PHOENIX, AZ 85004
33aNPI1629497474assigned 04/09/2014
33bProvider typeGeneral Acute Care Hospital
28Total paid$14.46M
24GClaims452,835
24DCodes billed140
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Arizona
Rank by total paid#37 of 78
Median peer was paid$12.21M
This provider vs. median1.2×
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 | 66,503 | $1.44M | |
| 2019 | 64,971 | $1.67M | |
| 2020 | 50,155 | $2.01M | |
| 2021 | 72,570 | $2.86M | |
| 2022 | 76,521 | $2.60M | |
| 2023 | 61,996 | $2.13M | |
| 2024incomplete | 60,119 | $1.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 51,065 | 40,374 | $14.45M |
| 87536 | <1% | 17,367 | 16,205 | $1K | |
| 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 | <1% | 38,567 | 25,504 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 19,347 | 14,959 | $975.93 |
| 96150 | <1% | 784 | 476 | $945.00 | |
| 80061 | Lipid panel | <1% | 11,394 | 10,300 | $596.14 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 909 | 560 | $545.20 |
| 80053 | Comprehensive metabolic panel | <1% | 23,750 | 21,037 | $487.81 |
| 0012A | <1% | 252 | 237 | $280.47 | |
| 90739 | <1% | 339 | 336 | $270.11 | |
| 0011A | <1% | 293 | 241 | $200.37 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 118 | 64 | $186.62 |
128 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,124 | $170.97 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 218 | $100.00 |
| 86777 | 0% | 1,215 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 28,780 | $0.00 |
| 86635 | 0% | 2,890 | $0.00 | |
| 82043 | 0% | 5,254 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 19,291 | $0.00 |
| 82670 | 0% | 807 | $0.00 | |
| 90732 | 0% | 982 | $0.00 | |
| 85027 | 0% | 4,004 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 8,313 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 5,237 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 345 | $0.00 |
| 86704 | 0% | 1,697 | $0.00 | |
| 81001 | 0% | 6,841 | $0.00 | |
| 84270 | 0% | 1,296 | $0.00 | |
| 87900 | 0% | 381 | $0.00 | |
| 86762 | 0% | 1,885 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 2,259 | $0.00 |
| 86593 | 0% | 4,783 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 7,357 | $0.00 |
| 82955 | 0% | 1,158 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 237 | $0.00 |
| 86780 | 0% | 4,675 | $0.00 | |
| 0134A | 0% | 455 | $0.00 | |
| 87486 | 0% | 83 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 0% | 535 | $0.00 |
| 1126F | 0% | 2,154 | $0.00 | |
| 86803 | 0% | 7,899 | $0.00 | |
| 86592 | 0% | 11,871 | $0.00 | |
| 83615 | 0% | 501 | $0.00 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 918 | $0.00 |
| 3080F | 0% | 456 | $0.00 | |
| 3074F | 0% | 1,536 | $0.00 | |
| 87340 | 0% | 1,764 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 320 | $0.00 |
| 90686 | 0% | 2,955 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 9,349 | $0.00 |
| 86701 | 0% | 653 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 11,230 | $0.00 |
| 90674 | 0% | 672 | $0.00 | |
| 86706 | 0% | 2,259 | $0.00 | |
| 80320 | 0% | 115 | $0.00 | |
| 90677 | 0% | 287 | $0.00 | |
| 86702 | 0% | 693 | $0.00 | |
| 3079F | 0% | 1,179 | $0.00 | |
| 87906 | 0% | 575 | $0.00 | |
| 90480 | 0% | 512 | $0.00 | |
| 82607 | 0% | 41 | $0.00 | |
| 90619 | 0% | 170 | $0.00 | |
| 82728 | 0% | 37 | $0.00 | |
| 84153 | 0% | 185 | $0.00 | |
| 3075F | 0% | 780 | $0.00 | |
| 1125F | 0% | 255 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 29 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 177 | $0.00 |
| 3048F | 0% | 12 | $0.00 | |
| 90656 | 0% | 385 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 26 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 86 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 13 | $0.00 |
| 87581 | 0% | 82 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 157 | $0.00 |
| 82746 | 0% | 26 | $0.00 | |
| 96156 | 0% | 27 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 95 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 42 | $0.00 |
| 0064A | 0% | 268 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 24 | $0.00 |
| 3044F | 0% | 28 | $0.00 | |
| 83550 | 0% | 12 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 19 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,848 | $0.00 |
| 3078F | 0% | 1,186 | $0.00 | |
| 82570 | 0% | 6,200 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 1,911 | $0.00 |
| 84403 | 0% | 1,739 | $0.00 | |
| 86480 | 0% | 5,797 | $0.00 | |
| 88112 | 0% | 1,756 | $0.00 | |
| 84156 | 0% | 2,713 | $0.00 | |
| 86787 | 0% | 1,803 | $0.00 | |
| 85007 | 0% | 4,001 | $0.00 | |
| 87901 | 0% | 542 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 11,188 | $0.00 |
| 86360 | 0% | 21,245 | $0.00 | |
| 86644 | 0% | 1,260 | $0.00 | |
| 86359 | 0% | 21,243 | $0.00 | |
| 1160F | 0% | 2,539 | $0.00 | |
| 81025 | 0% | 55 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,055 | $0.00 |
| 81381 | 0% | 779 | $0.00 | |
| 86708 | 0% | 1,824 | $0.00 | |
| 90670 | 0% | 454 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 4,403 | $0.00 |
| 86645 | 0% | 1,263 | $0.00 | |
| 90750 | 0% | 1,037 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,239 | $0.00 |
| 90715 | 0% | 569 | $0.00 | |
| 86765 | 0% | 1,896 | $0.00 | |
| 90707 | 0% | 207 | $0.00 | |
| 86735 | 0% | 1,803 | $0.00 | |
| 91322 | 0% | 394 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 2,090 | $0.00 |
| 90746 | 0% | 415 | $0.00 | |
| 82652 | 0% | 362 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 27 | $0.00 |
| 1159F | 0% | 2,941 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 39 | $0.00 |
| 3077F | 0% | 522 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 57 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 148 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 103 | $0.00 |
| 83540 | 0% | 12 | $0.00 | |
| 90649 | 0% | 666 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 40 | $0.00 |
| 84146 | 0% | 12 | $0.00 | |
| 0013A | 0% | 42 | $0.00 | |
| 90734 | 0% | 115 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 349 | $0.00 |
| 85610 | 0% | 121 | $0.00 | |
| 90611 | 0% | 342 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 33 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 34 | $0.00 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 35 | $0.00 |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 83 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 29 | $0.00 |
| 86331 | 0% | 96 | $0.00 | |
| 84439 | 0% | 12 | $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 officialFOWLER, PAM (SYSTEM DIRECTOR OF REIMBURSEMENT)