Clinic
Gila River Health Care Corporation
Gila River Health Care Corporation was paid $3.47M by Medicaid between Jan 2018 and Oct 2024, across 49 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 97% of everything it billed.
33Billing provider infoGILA RIVER HEALTH CARE CORPORATION
LAVEEN, AZ 85339
LAVEEN, AZ 85339
33aNPI1700867819assigned 11/07/2005
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$3.47M
24GClaims125,905
24DCodes billed49
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Arizona
Rank by total paid#50 of 129
Median peer was paid$2.64M
This provider vs. median1.3×
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 | 25,416 | $553K | |
| 2019 | 23,924 | $577K | |
| 2020 | 19,230 | $476K | |
| 2021 | 19,423 | $546K | |
| 2022 | 15,741 | $436K | |
| 2023 | 12,820 | $453K | |
| 2024incomplete | 9,351 | $428K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 97% | 28,886 | 3,264 | $3.35M |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 3.4% | 16,709 | 2,770 | $117K |
| 83970 | 0% | 1,113 | 792 | $0.00 | |
| 85048 | 0% | 2,275 | 2,221 | $0.00 | |
| 84100 | 0% | 3,030 | 1,351 | $0.00 | |
| 83540 | 0% | 2,362 | 2,223 | $0.00 | |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 3,761 | 1,843 | $0.00 |
| 85041 | 0% | 2,272 | 2,221 | $0.00 | |
| 85045 | 0% | 2,207 | 2,173 | $0.00 | |
| 82310 | 0% | 970 | 754 | $0.00 | |
| 85014 | 0% | 5,954 | 2,241 | $0.00 | |
| 84466 | 0% | 1,904 | 1,888 | $0.00 |
37 more codes
| 84155 | 0% | 2,253 | $0.00 | |
| 82247 | 0% | 2,256 | $0.00 | |
| 84520 | 0% | 3,584 | $0.00 | |
| 85046 | 0% | 2,237 | $0.00 | |
| 82947 | 0% | 743 | $0.00 | |
| 84295 | 0% | 742 | $0.00 | |
| 82565 | 0% | 744 | $0.00 | |
| 82374 | 0% | 940 | $0.00 | |
| 82465 | 0% | 751 | $0.00 | |
| 82108 | 0% | 185 | $0.00 | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 0% | 127 | $0.00 |
| 91322 | 0% | 29 | $0.00 | |
| 0013A | 0% | 26 | $0.00 | |
| 91313 | 0% | 17 | $0.00 | |
| 90756 | 0% | 21 | $0.00 | |
| 84132 | 0% | 900 | $0.00 | |
| 83735 | 0% | 185 | $0.00 | |
| 83550 | 0% | 2,360 | $0.00 | |
| 80069 | 0% | 1,499 | $0.00 | |
| 87340 | 0% | 1,312 | $0.00 | |
| 82728 | 0% | 2,217 | $0.00 | |
| A4657 | Syringe, with or without needle, each | 0% | 4,741 | $0.00 |
| J2501 | Injection, paricalcitol, 1 mcg | 0% | 15,210 | $0.00 |
| 82435 | 0% | 742 | $0.00 | |
| 85018 | 0% | 5,963 | $0.00 | |
| 82040 | 0% | 970 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 795 | $0.00 |
| 84075 | 0% | 2,257 | $0.00 | |
| 86706 | 0% | 184 | $0.00 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 31 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 186 | $0.00 |
| 90686 | 0% | 91 | $0.00 | |
| 90480 | 0% | 32 | $0.00 | |
| 91301 | 0% | 75 | $0.00 | |
| 0134A | 0% | 17 | $0.00 | |
| 0012A | 0% | 20 | $0.00 | |
| 0011A | 0% | 20 | $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 officialROTH, MARY (CFO)