Scottsdale Physicians Group PLC

Scottsdale Physicians Group PLC was paid $17.67M by Medicaid between Jan 2018 and Jun 2023, across 74 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 35% of everything it billed.

33Billing provider infoSCOTTSDALE PHYSICIANS GROUP PLC
SCOTTSDALE, AZ 85258

33aNPI1689799579assigned 03/20/2007

33bProvider typeInternal Medicine Physician

28Total paid$17.67M

24GClaims364,389

24DCodes billed74

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Internal Medicine Physician providers in Arizona

Rank by total paid#2 of 395

Median peer was paid$68K

This provider vs. median260×

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	43,736	$1.36M
2019	43,091	$1.56M
2020	76,185	$3.14M
2021	122,746	$6.79M
2022	65,069	$4.11M
2023	13,562	$718K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	35%	35,136	20,373	$6.21M
99309	Subsequent nursing facility care, per day, low to moderate complexity	24%	117,052	27,087	$4.20M
99310	Prolong nursin fac eval 15m	13%	39,864	10,443	$2.38M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.6%	26,982	5,825	$1.52M
99205	Prolong outpt/office vis	4.6%	3,496	3,341	$813K
99337		1.9%	8,298	2,791	$344K
99223	Prolong inpt eval add15 m	1.6%	2,623	2,456	$287K
99306	Prolong nursin fac eval 15m	1.4%	3,333	3,062	$246K
99220		<1%	1,806	1,707	$170K
99417	Prolong home eval add 15m	<1%	3,591	2,360	$170K
99239	Hospital discharge day management, more than 30 minutes	<1%	2,800	2,627	$166K
99308	Subsequent nursing facility care, per day, straightforward	<1%	4,413	1,581	$144K

62 more codes

99454		<1%	4,091	$129K
99354		<1%	2,286	$114K
99350	Prolong home eval add 15m	<1%	3,067	$113K
99214	Doctor's office visit, returning patient (more involved)	<1%	2,070	$113K
99336		<1%	3,619	$97K
99457		<1%	3,736	$94K
99497		<1%	2,424	$63K
99226		<1%	1,081	$57K
99349		<1%	1,200	$43K
99217		<1%	835	$37K
99204	Doctor's office visit, new patient (more involved)	<1%	163	$17K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	1,838	$15K
99219		<1%	191	$15K
99347		<1%	412	$13K
90792	Psychiatric diagnostic evaluation with medical services	<1%	106	$10K
99348		<1%	271	$9K
99232	Hospital visit by a doctor, follow-up day	<1%	165	$9K
99213	Doctor's office visit, returning patient (routine)	<1%	219	$9K
99222	Initial hospital care, per day, moderate complexity	<1%	80	$7K
0012A		<1%	205	$5K
99401		<1%	389	$5K
97802		<1%	7,102	$5K
99453		<1%	359	$4K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	4,096	$3K
99458		<1%	175	$3K
99316		<1%	55	$3K
0011A		<1%	130	$3K
99490	Ccm add 20min	<1%	547	$3K
99305		<1%	44	$2K
97803		<1%	4,533	$2K
99318		<1%	27	$1K
99315		<1%	43	$1K
99358	Prolong nursin fac eval 15m	<1%	26	$1K
99221		<1%	15	$961.42
99203	Doctor's office visit, new patient (routine)	<1%	14	$719.73
99406		<1%	525	$458.22
99307		<1%	20	$413.97
G0408	Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	<1%	25	$310.69
36415	Collection of venous blood by venipuncture	<1%	213	$292.86
99496		<1%	18	$213.66
G0443	Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes	<1%	507	$194.17
G0444	Annual depression screening, 5 to 15 minutes	<1%	668	$175.12
99491	Ccm add 20min	<1%	30	$103.51
G8482	Influenza immunization administered or previously received	0%	416	$0.00
G8785	Blood pressure reading not documented, reason not given	0%	1,527	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	16,264	$0.00
98960		0%	2,550	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	158	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	1,462	$0.00
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	0%	47	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	77	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	17	$0.00
1123F		0%	373	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	34,537	$0.00
1111F		0%	7,508	$0.00
99000		0%	849	$0.00
G8536	No documentation of an elder maltreatment screen, reason not given	0%	187	$0.00
98961		0%	279	$0.00
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	0%	858	$0.00
G8734	Elder maltreatment screen documented as negative, follow-up is not required	0%	121	$0.00
91301		0%	74	$0.00
99070		0%	71	$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 officialGHADIMI, NIMA (PRESIDENT)