Physician
Sonoran Sky Pediatrics
Sonoran Sky Pediatrics was paid $819K by Medicaid between Jan 2018 and Jun 2019, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoSONORAN SKY PEDIATRICS
MESA, AZ 85209
MESA, AZ 85209
33aNPI1710139860assigned 10/21/2008
33bProvider typePediatrics Physician
28Total paid$819K
24GClaims20,514
24DCodes billed32
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#72 of 235
Median peer was paid$164K
This provider vs. median5.0×
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 | 14,439 | $579K | |
| 2019 | 6,075 | $240K |
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 | 45% | 5,675 | 5,162 | $372K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 3,233 | 3,067 | $108K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 1,570 | 1,475 | $71K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 1,006 | 949 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 925 | 896 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 518 | 498 | $35K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.1% | 115 | 12 | $25K |
| 90461 | 2.5% | 1,164 | 1,075 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 1,095 | 1,037 | $19K |
| 95117 | 1.0% | 967 | 363 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 90 | 89 | $7K |
| 92551 | <1% | 1,170 | 1,113 | $7K |
20 more codes
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 15 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 276 | $4K |
| 99381 | <1% | 13 | $957.28 | |
| 99173 | <1% | 560 | $759.39 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $434.71 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $391.03 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $303.60 |
| 99177 | <1% | 14 | $182.92 | |
| 90686 | <1% | 383 | $36.34 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $10.93 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $1.65 |
| 90700 | 0% | 360 | $0.00 | |
| 90670 | 0% | 504 | $0.00 | |
| 90713 | 0% | 170 | $0.00 | |
| 90633 | 0% | 29 | $0.00 | |
| 90685 | 0% | 46 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90647 | 0% | 272 | $0.00 | |
| 90680 | 0% | 243 | $0.00 | |
| 90744 | 0% | 18 | $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 officialLETIZIA, RUTH (OWNER)