Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

TMC Medical Network

TMC Medical Network was paid $20.27M by Medicaid between Jan 2018 and Dec 2024, across 143 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoTMC MEDICAL NETWORK
TUCSON, AZ 85712
33aNPI1750832283assigned 10/19/2016
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$20.27M
24GClaims342,794
24DCodes billed143
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Arizona

Rank by total paid#8 of 76
Median peer was paid$899K
This provider vs. median23×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201836,140$2.23M
201941,268$2.50M
202035,641$1.89M
202144,328$2.62M
202258,283$3.44M
202369,535$4.16M
2024incomplete57,599$3.43M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 70,528 65,333 $4.34M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 48,020 43,096 $2.32M
59025 Fetal non-stress test 8.6% 50,666 38,190 $1.74M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7.9% 15,127 14,459 $1.60M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5.0% 19,974 15,722 $1.02M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4.8% 7,426 3,091 $975K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4.7% 7,252 7,117 $952K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.8% 8,121 7,564 $778K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.7% 16,007 8,230 $753K
59514 2.7% 2,145 2,095 $552K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2.6% 3,008 2,954 $527K
90460 Immunization administration through 18 years of age via any route, first or only component 1.8% 8,545 8,401 $374K
131 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 4,098 $343K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 3,704 $328K
99222 Initial hospital care, per day, moderate complexity 1.4% 2,944 $276K
99204 Doctor's office visit, new patient (more involved) 1.3% 2,754 $261K
99203 Doctor's office visit, new patient (routine) 1.3% 3,777 $259K
99244 Office or other outpatient consultation, moderate to high complexity 1.1% 1,314 $218K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.1% 5,850 $216K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,517 $192K
76801 <1% 1,418 $174K
99238 Hospital discharge day management, 30 minutes or less <1% 2,589 $172K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,809 $160K
99205 Prolong outpt/office vis <1% 1,003 $119K
99239 Hospital discharge day management, more than 30 minutes <1% 1,229 $118K
92650 <1% 2,663 $117K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,251 $116K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 6,102 $113K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,505 $100K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,456 $77K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,594 $77K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 210 $76K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 709 $67K
96112 <1% 675 $57K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,808 $52K
99223 Prolong inpt eval add15 m <1% 394 $43K
99245 <1% 166 $34K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 102 $34K
99243 <1% 301 $34K
99219 <1% 335 $31K
97803 <1% 202 $23K
94664 <1% 1,194 $20K
76813 <1% 154 $19K
83036 Hemoglobin; glycosylated (A1C) <1% 2,896 $19K
76775 <1% 361 $19K
90686 <1% 5,209 $18K
94375 <1% 434 $17K
99354 <1% 154 $17K
96127 <1% 4,757 $17K
99221 <1% 221 $16K
94729 <1% 505 $14K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 126 $13K
95811 <1% 154 $13K
99460 <1% 207 $13K
95251 <1% 410 $12K
99468 <1% 14 $11K
94727 <1% 523 $11K
99217 <1% 190 $11K
99493 <1% 153 $10K
94060 <1% 475 $10K
99255 <1% 56 $9K
51741 <1% 592 $8K
51798 <1% 722 $8K
96111 <1% 74 $8K
43762 <1% 43 $7K
95012 <1% 367 $7K
44970 <1% 12 $7K
54161 <1% 42 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 300 $6K
94010 <1% 226 $6K
99480 Subsequent intensive care, per day, low birth weight infant <1% 65 $6K
99253 <1% 65 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 348 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 462 $6K
99442 <1% 180 $5K
97802 <1% 30 $4K
90480 <1% 169 $4K
17250 <1% 75 $4K
99381 <1% 39 $4K
99242 <1% 37 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 27 $3K
99254 <1% 25 $3K
90473 <1% 161 $3K
90474 <1% 185 $3K
96116 <1% 71 $2K
99383 <1% 24 $2K
96160 <1% 736 $2K
0011A <1% 50 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 40 $2K
0004A <1% 30 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 124 $1K
64483 <1% 14 $1K
99462 <1% 47 $1K
0031A <1% 38 $1K
52000 <1% 12 $1K
82270 <1% 283 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 $898.00
99385 <1% 12 $894.27
83655 <1% 78 $857.95
0064A <1% 13 $840.25
97597 <1% 39 $803.40
76820 <1% 14 $645.98
64484 <1% 14 $637.97
95806 <1% 12 $564.13
99177 <1% 136 $505.60
90656 <1% 173 $489.93
99494 <1% 12 $470.12
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 13 $453.12
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 14 $441.70
99443 <1% 15 $413.95
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 16 $412.70
0012A <1% 14 $401.64
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 13 $400.50
99173 <1% 318 $390.84
90461 <1% 16 $323.88
90662 <1% 70 $298.42
99417 Prolong home eval add 15m <1% 15 $284.57
96161 <1% 86 $229.06
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $186.18
94760 <1% 301 $160.39
82272 <1% 49 $96.02
81002 <1% 26 $48.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 13 $46.15
J8540 Dexamethasone, oral, 0.25 mg <1% 34 $14.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 17 $11.48
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 174 $11.37
90670 <1% 1,379 $10.80
90680 <1% 1,003 $10.80
90633 0% 353 $0.00
90700 0% 14 $0.00
90671 0% 151 $0.00
90648 0% 30 $0.00
90672 0% 36 $0.00
90685 0% 38 $0.00
90707 0% 12 $0.00
90698 0% 446 $0.00
90651 0% 60 $0.00
90697 0% 95 $0.00
90716 0% 14 $0.00
90677 0% 73 $0.00
G0008 Administration of influenza virus vaccine 0% 113 $0.00
90647 0% 14 $0.00
90744 0% 26 $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 officialSTAMNAS, CHRISTOPHER (DIR MED STAFF AFFAIRS & PAYER CRED)