Clinic
Gila Valley Clinic PC
Gila Valley Clinic PC was paid $12.98M by Medicaid between Jan 2019 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoGILA VALLEY CLINIC PC
SAFFORD, AZ 85546
SAFFORD, AZ 85546
33aNPI1740767664assigned 07/24/2018
33bProvider typeRural Health Clinic/Center
28Total paid$12.98M
24GClaims86,827
24DCodes billed40
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Arizona
Rank by total paid#2 of 34
Median peer was paid$666K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2019 | 6,796 | $1.24M | |
| 2020 | 10,518 | $2.00M | |
| 2021 | 14,133 | $2.46M | |
| 2022 | 17,109 | $2.08M | |
| 2023 | 18,764 | $2.48M | |
| 2024incomplete | 19,507 | $2.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 41,864 | 33,428 | $12.92M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 16,502 | 13,422 | $23K |
| 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 | <1% | 8,086 | 7,243 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,949 | 3,806 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,951 | 2,725 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,763 | 1,622 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,470 | 1,402 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 756 | 708 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,171 | 1,116 | $690.92 |
| 87428 | <1% | 335 | 326 | $317.95 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,036 | 668 | $290.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 661 | 594 | $182.16 |
28 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 181 | $153.60 |
| 99174 | <1% | 371 | $149.28 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 553 | $107.49 |
| 90686 | <1% | 572 | $31.67 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 481 | $24.56 |
| 81003 | <1% | 932 | $18.62 | |
| 90671 | <1% | 222 | $15.43 | |
| 90670 | <1% | 384 | $0.77 | |
| 90723 | <1% | 291 | $0.77 | |
| 81025 | 0% | 159 | $0.00 | |
| 90633 | 0% | 146 | $0.00 | |
| 90715 | 0% | 86 | $0.00 | |
| 90681 | 0% | 74 | $0.00 | |
| 80305 | 0% | 42 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 286 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | $0.00 |
| 90461 | 0% | 64 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 52 | $0.00 |
| 90677 | 0% | 213 | $0.00 | |
| 90647 | 0% | 318 | $0.00 | |
| 90680 | 0% | 256 | $0.00 | |
| 96127 | 0% | 414 | $0.00 | |
| 99000 | 0% | 108 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 14 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 13 | $0.00 |
| 90697 | 0% | 12 | $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 officialCOCA, DONNA (BUSINESS MANAGER)
Parent organizationGILA VALLEY CLINIC PC