Medicaid Provider Spending

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

PEDIATRIC GROUP SPECIALISTS, LTD.

NPI: 1639164833 · PHOENIX, AZ 85053 · Pediatrics Physician · NPI assigned 09/13/2005

$15.26M
Total Medicaid Paid
415,245
Total Claims
393,649
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKLEINER, DAVID (CEO)
NPI Enumeration Date09/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 70,522 $2.03M
2019 71,989 $2.09M
2020 59,526 $1.80M
2021 62,435 $2.44M
2022 61,038 $2.62M
2023 50,818 $2.37M
2024 38,917 $1.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85,591 80,506 $4.45M
90460 Immunization administration through 18 years of age via any route, first or only component 55,786 54,659 $1.96M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,873 21,021 $1.67M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,810 17,339 $1.39M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,803 16,586 $1.32M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16,845 16,676 $1.29M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12,635 12,508 $1.07M
90461 23,477 22,364 $733K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30,591 29,415 $405K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,871 11,220 $345K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,372 7,110 $272K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,956 3,754 $62K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,100 2,023 $49K
99215 Prolong outpt/office vis 382 374 $36K
0071A 367 359 $28K
99460 392 376 $25K
0072A 251 247 $20K
36415 Collection of venous blood by venipuncture 7,265 6,889 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,749 3,427 $17K
99238 Hospital discharge day management, 30 minutes or less 299 287 $16K
96127 3,447 3,369 $14K
99000 16,707 14,020 $13K
99188 675 658 $7K
95117 796 714 $6K
99381 63 62 $6K
96160 1,974 1,957 $5K
99383 47 47 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 12 12 $4K
99051 1,047 969 $4K
0124A 90 89 $3K
92551 452 425 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 27 27 $2K
0001A 28 28 $2K
0002A 27 26 $2K
81002 495 469 $1K
99173 1,383 1,245 $1K
90670 9,115 8,557 $1K
0154A 15 15 $1K
99174 218 213 $983.01
0081A 12 12 $913.00
0074A 12 12 $900.00
90686 17,485 15,966 $795.79
90698 6,418 6,093 $677.26
94664 51 47 $610.20
90680 4,883 4,613 $500.85
90700 3,555 3,244 $363.50
90716 3,297 3,091 $356.01
90707 3,114 2,927 $355.58
90633 3,327 3,078 $310.95
90671 1,117 1,044 $298.46
90480 14 14 $273.00
90744 3,125 2,977 $251.34
90619 541 502 $244.44
96380 13 13 $225.57
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 13 $211.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20 20 $181.20
90651 3,279 2,988 $159.69
90621 287 258 $151.88
90715 569 542 $80.56
90713 801 690 $77.19
90734 1,342 1,226 $30.87
90648 509 423 $30.86
94760 15 14 $12.78
90685 800 742 $0.04
99072 3,374 2,879 $0.00
91300 58 51 $0.00
90710 13 12 $0.00
36416 167 116 $0.00