Medicaid Provider Spending

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

BLACK CANYON COMMUNITY HEALTH CENTER

NPI: 1679723217 · BLACK CANYON CITY, AZ 85324 · Family Medicine Physician · NPI assigned 09/19/2008

$556K
Total Medicaid Paid
13,364
Total Claims
11,595
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHANCOCK, RANDY (CEO)
NPI Enumeration Date09/19/2008

Related Entities

Other providers sharing the same authorized official: HANCOCK, RANDY

ProviderCityStateTotal Paid
BLACK CANYON COMMUNITY HEALTH CENTER BLACK CANYON CITY AZ $1.03M
BLACK CANYON COMMUNITY HEALTH CENTER INC. MAYER AZ $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,026 $92K
2019 2,238 $109K
2020 3,298 $123K
2021 2,764 $93K
2022 2,517 $113K
2023 508 $26K
2024 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,588 4,715 $306K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,098 4,513 $210K
99215 Prolong outpt/office vis 365 320 $24K
T1015 Clinic visit/encounter, all-inclusive 53 27 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 361 313 $4K
96160 1,372 1,241 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 129 120 $2K
99442 20 20 $1K
99443 13 12 $970.24
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $829.54
96127 274 239 $659.34
80305 66 50 $457.57
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 12 12 $17.38