Physician
Pacific Family Medicine, INC.
Pacific Family Medicine, INC. was paid $981K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoPACIFIC FAMILY MEDICINE, INC.
CHANDLER, AZ 85224
CHANDLER, AZ 85224
33aNPI1649404153assigned 05/12/2009
33bProvider typeFamily Medicine Physician
28Total paid$981K
24GClaims21,536
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#72 of 442
Median peer was paid$77K
This provider vs. median13×
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 | 4,311 | $153K | |
| 2019 | 3,389 | $152K | |
| 2020 | 3,243 | $150K | |
| 2021 | 3,298 | $167K | |
| 2022 | 2,797 | $138K | |
| 2023 | 2,447 | $124K | |
| 2024incomplete | 2,051 | $97K |
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 | 58% | 10,068 | 8,445 | $566K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 8,507 | 7,172 | $354K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 177 | 156 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 178 | 165 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 452 | 407 | $9K |
| 90688 | <1% | 739 | 578 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 74 | 71 | $6K |
| 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 | <1% | 54 | 54 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 80 | 74 | $2K |
| 99397 | <1% | 29 | 29 | $1K | |
| 99354 | <1% | 34 | 25 | $1K | |
| 90658 | <1% | 40 | 40 | $1K |
12 more codes
| 96127 | <1% | 171 | $617.46 | |
| 82962 | <1% | 563 | $609.85 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $291.40 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 16 | $208.24 |
| 93000 | <1% | 16 | $193.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 137 | $83.87 |
| 96160 | <1% | 28 | $79.94 | |
| 99497 | <1% | 31 | $70.57 | |
| 81002 | <1% | 38 | $56.64 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 40 | $0.00 |
| 3008F | 0% | 16 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 30 | $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 officialVERDEJO, NATIVIDAD (PRESIDENT)