Managed care
Ainsworth Consulting Group LLC
Ainsworth Consulting Group LLC was paid $2.37M by Medicaid between Jan 2018 and Jun 2022, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoAINSWORTH CONSULTING GROUP LLC
CHANDLER, AZ 85224
CHANDLER, AZ 85224
33aNPI1780763243assigned 11/03/2006
33bProvider typePoint of Service
28Total paid$2.37M
24GClaims62,151
24DCodes billed50
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Point of Service providers in Arizona
Rank by total paid#2 of 9
Median peer was paid$189K
This provider vs. median13×
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 | 14,846 | $504K | |
| 2019 | 14,788 | $458K | |
| 2020 | 13,542 | $521K | |
| 2021 | 13,943 | $652K | |
| 2022 | 5,032 | $239K |
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 | 40% | 18,129 | 16,295 | $941K |
| 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 | 12% | 3,996 | 3,653 | $286K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 6,273 | 6,029 | $212K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 1,941 | 1,907 | $167K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.1% | 3,158 | 2,533 | $144K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 1,672 | 1,577 | $120K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 1,426 | 1,401 | $110K |
| 99384 | 4.3% | 1,065 | 1,037 | $102K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 970 | 947 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 960 | 904 | $69K |
| 0001A | <1% | 346 | 339 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,440 | 1,361 | $20K |
38 more codes
| 92551 | <1% | 2,985 | $19K | |
| 0002A | <1% | 274 | $18K | |
| 81002 | <1% | 4,056 | $12K | |
| 0071A | <1% | 127 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 401 | $9K |
| 86580 | <1% | 1,097 | $8K | |
| 0072A | <1% | 65 | $5K | |
| 0004A | <1% | 60 | $5K | |
| 96160 | <1% | 1,192 | $4K | |
| 99173 | <1% | 2,649 | $4K | |
| 86328 | <1% | 127 | $3K | |
| 0012A | <1% | 67 | $2K | |
| 99243 | <1% | 21 | $2K | |
| 0011A | <1% | 73 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 50 | $1K |
| 96161 | <1% | 373 | $1K | |
| 99484 | <1% | 25 | $793.76 | |
| 90461 | <1% | 16 | $620.00 | |
| 94760 | <1% | 1,199 | $583.97 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 157 | $393.22 |
| 90686 | <1% | 2,202 | $312.57 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $203.51 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 14 | $151.26 |
| 90651 | <1% | 748 | $15.00 | |
| 90734 | <1% | 483 | $4.00 | |
| 90707 | <1% | 333 | $3.00 | |
| 90716 | <1% | 319 | $2.00 | |
| 90670 | <1% | 293 | $1.00 | |
| 90715 | <1% | 235 | $1.00 | |
| 90633 | <1% | 238 | $1.00 | |
| 90713 | <1% | 214 | $1.00 | |
| 91300 | <1% | 46 | $0.14 | |
| 90685 | 0% | 12 | $0.00 | |
| 90672 | 0% | 15 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90744 | 0% | 405 | $0.00 | |
| 90698 | 0% | 116 | $0.00 | |
| 90680 | 0% | 60 | $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 officialAINSWORTH, JAMES (SOLE MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Town of Newport | Newport, NC | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.