Behavioral
Carelon Medical Partners of Arizona, P.C.
Carelon Medical Partners of Arizona, P.C. was paid $496K by Medicaid between Aug 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoCARELON MEDICAL PARTNERS OF ARIZONA, P.C.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
33aNPI1730697483assigned 01/16/2018
33bProvider typeSocial Worker
28Total paid$496K
24GClaims21,116
24DCodes billed46
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in Texas
Rank by total paid#11 of 34
Median peer was paid$200K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2018 | 1,128 | $53K | |
| 2019 | 2,668 | $173K | |
| 2020 | 1,617 | $80K | |
| 2021 | 1,174 | $67K | |
| 2022 | 3,783 | $51K | |
| 2023 | 6,775 | $48K | |
| 2024incomplete | 3,971 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 3,724 | 3,283 | $225K |
| 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 | 31% | 4,417 | 3,967 | $156K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.2% | 411 | 410 | $41K |
| 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 | 7.2% | 241 | 236 | $36K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.6% | 156 | 83 | $18K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.2% | 77 | 50 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 447 | 433 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 79 | 75 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 362 | 332 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 22 | 20 | $1K |
| 99349 | <1% | 478 | 380 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 416 | 331 | $1K |
34 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 189 | $351.22 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 791 | $309.96 |
| 90756 | <1% | 13 | $236.99 | |
| 99442 | <1% | 2,035 | $169.00 | |
| 99000 | <1% | 186 | $163.15 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 410 | $88.62 |
| 90674 | <1% | 262 | $78.98 | |
| 99441 | <1% | 1,370 | $77.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $72.67 |
| 94760 | <1% | 1,245 | $0.88 | |
| 3078F | 0% | 285 | $0.00 | |
| 99499 | 0% | 1,231 | $0.00 | |
| 99348 | 0% | 60 | $0.00 | |
| 1160F | 0% | 102 | $0.00 | |
| 99446 | 0% | 102 | $0.00 | |
| 90661 | 0% | 108 | $0.00 | |
| 1159F | 0% | 102 | $0.00 | |
| 1033F | 0% | 24 | $0.00 | |
| 91312 | 0% | 12 | $0.00 | |
| 0124A | 0% | 12 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 30 | $0.00 |
| 3074F | 0% | 233 | $0.00 | |
| 99443 | 0% | 589 | $0.00 | |
| 3079F | 0% | 91 | $0.00 | |
| 81001 | 0% | 187 | $0.00 | |
| T1016 | Case management, each 15 minutes | 0% | 259 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 64 | $0.00 |
| 3075F | 0% | 139 | $0.00 | |
| 1111F | 0% | 44 | $0.00 | |
| 1031F | 0% | 24 | $0.00 | |
| 99386 | 0% | 12 | $0.00 | |
| 1036F | 0% | 24 | $0.00 | |
| 82962 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $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 officialABLION, TIMOTHY (OWNER)