Physician
Maricopa Pulmonary Consultants LLC
Maricopa Pulmonary Consultants LLC was paid $851K by Medicaid between Mar 2020 and Dec 2024, across 13 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 49% of everything it billed.
33Billing provider infoMARICOPA PULMONARY CONSULTANTS LLC
PHOENIX, AZ 85020
PHOENIX, AZ 85020
33aNPI1710413588assigned 05/11/2017
33bProvider typePulmonary Disease Physician
28Total paid$851K
24GClaims14,913
24DCodes billed13
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Arizona
Rank by total paid#8 of 37
Median peer was paid$132K
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2020 | 491 | $26K | |
| 2021 | 2,446 | $133K | |
| 2022 | 2,443 | $126K | |
| 2023 | 4,240 | $231K | |
| 2024incomplete | 5,293 | $335K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 49% | 6,569 | 2,434 | $414K |
| 99310 | Prolong nursin fac eval 15m | 13% | 1,586 | 666 | $111K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 12% | 2,036 | 1,025 | $100K |
| 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 | 9.0% | 1,820 | 1,650 | $77K |
| 99306 | Prolong nursin fac eval 15m | 5.3% | 503 | 483 | $45K |
| 99223 | Prolong inpt eval add15 m | 3.8% | 314 | 305 | $32K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.6% | 633 | 400 | $30K |
| 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 | 2.3% | 282 | 282 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 932 | 463 | $16K |
| 94060 | <1% | 175 | 169 | $4K | |
| 99305 | <1% | 25 | 24 | $1K | |
| 94010 | <1% | 25 | 25 | $344.02 |
1 more codes
| 94618 | <1% | 13 | $294.49 |
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 officialGARCIA, ANSELMO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Arizona Primary Care Partners LLC | Phoenix, AZ | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.