Medicaid Provider Spending

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

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

NPI: 1629497474 · PHOENIX, AZ 85004 · General Acute Care Hospital · NPI assigned 04/09/2014

$14.46M
Total Medicaid Paid
452,835
Total Claims
384,861
Beneficiaries
140
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOWLER, PAM (SYSTEM DIRECTOR OF REIMBURSEMENT)
NPI Enumeration Date04/09/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 60,119 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 51,065 40,374 $14.45M
87536 17,367 16,205 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,567 25,504 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,347 14,959 $975.93
96150 784 476 $945.00
80061 Lipid panel 11,394 10,300 $596.14
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 909 560 $545.20
80053 Comprehensive metabolic panel 23,750 21,037 $487.81
0012A 252 237 $280.47
90739 339 336 $270.11
0011A 293 241 $200.37
90792 Psychiatric diagnostic evaluation with medical services 118 64 $186.62
99215 Prolong outpt/office vis 3,124 2,802 $170.97
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 218 191 $100.00
86777 1,215 1,090 $0.00
36415 Collection of venous blood by venipuncture 28,780 23,980 $0.00
86635 2,890 2,538 $0.00
82043 5,254 4,836 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,291 17,261 $0.00
82670 807 774 $0.00
90732 982 921 $0.00
85027 4,004 3,485 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8,313 7,615 $0.00
84443 Thyroid stimulating hormone (TSH) 5,237 4,781 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 345 330 $0.00
86704 1,697 1,531 $0.00
81001 6,841 6,224 $0.00
84270 1,296 1,215 $0.00
87900 381 349 $0.00
86762 1,885 1,654 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,259 1,747 $0.00
86593 4,783 4,177 $0.00
83036 Hemoglobin; glycosylated (A1C) 7,357 6,905 $0.00
82955 1,158 1,063 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 237 226 $0.00
86780 4,675 3,936 $0.00
0134A 455 429 $0.00
87486 83 74 $0.00
87522 Neg quan hep c or qual rna 535 508 $0.00
1126F 2,154 2,077 $0.00
86803 7,899 7,077 $0.00
86592 11,871 10,566 $0.00
83615 501 389 $0.00
J0561 Injection, penicillin g benzathine, 100,000 units 918 639 $0.00
3080F 456 448 $0.00
3074F 1,536 1,482 $0.00
87340 1,764 1,594 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 320 312 $0.00
90686 2,955 2,877 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,349 8,652 $0.00
86701 653 590 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 11,230 9,058 $0.00
90674 672 609 $0.00
86706 2,259 2,040 $0.00
80320 115 84 $0.00
90677 287 276 $0.00
86702 693 617 $0.00
3079F 1,179 1,143 $0.00
87906 575 514 $0.00
90480 512 438 $0.00
82607 41 40 $0.00
90619 170 170 $0.00
82728 37 36 $0.00
84153 185 176 $0.00
3075F 780 762 $0.00
1125F 255 251 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 29 29 $0.00
87086 Culture, bacterial; quantitative colony count, urine 177 155 $0.00
3048F 12 12 $0.00
90656 385 231 $0.00
D0230 Intraoral - periapical each additional radiographic image 26 24 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 86 82 $0.00
D0140 Limited oral evaluation - problem focused 13 12 $0.00
87581 82 73 $0.00
80048 Basic metabolic panel (calcium, ionized) 157 147 $0.00
82746 26 26 $0.00
96156 27 18 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 95 91 $0.00
99205 Prolong outpt/office vis 42 37 $0.00
0064A 268 233 $0.00
D0120 Periodic oral evaluation - established patient 24 24 $0.00
3044F 28 28 $0.00
83550 12 12 $0.00
D7140 Extraction, erupted tooth or exposed root 19 12 $0.00
90472 Immunization administration, each additional vaccine (list separately) 2,848 2,666 $0.00
3078F 1,186 1,145 $0.00
82570 6,200 5,563 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,911 1,764 $0.00
84403 1,739 1,589 $0.00
86480 5,797 5,244 $0.00
88112 1,756 1,656 $0.00
84156 2,713 2,379 $0.00
86787 1,803 1,579 $0.00
85007 4,001 3,483 $0.00
87901 542 498 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,188 9,057 $0.00
86360 21,245 18,957 $0.00
86644 1,260 1,129 $0.00
86359 21,243 18,956 $0.00
1160F 2,539 2,329 $0.00
81025 55 52 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,055 898 $0.00
81381 779 645 $0.00
86708 1,824 1,652 $0.00
90670 454 405 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,403 3,798 $0.00
86645 1,263 1,128 $0.00
90750 1,037 1,031 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,239 1,013 $0.00
90715 569 533 $0.00
86765 1,896 1,667 $0.00
90707 207 202 $0.00
86735 1,803 1,621 $0.00
91322 394 381 $0.00
90837 Psychotherapy, 53 minutes with patient 2,090 836 $0.00
90746 415 361 $0.00
82652 362 227 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 27 14 $0.00
1159F 2,941 2,634 $0.00
90791 Psychiatric diagnostic evaluation 39 24 $0.00
3077F 522 506 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 57 36 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 148 136 $0.00
D0220 Intraoral - periapical first radiographic image 103 100 $0.00
83540 12 12 $0.00
90649 666 649 $0.00
D1120 Prophylaxis - child 40 40 $0.00
84146 12 12 $0.00
0013A 42 41 $0.00
90734 115 112 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 349 287 $0.00
85610 121 102 $0.00
90611 342 335 $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 33 30 $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 34 31 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 35 30 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 83 74 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 29 29 $0.00
86331 96 73 $0.00
84439 12 12 $0.00