Pebble Creek Medical Group PLLC

Pebble Creek Medical Group PLLC was paid $244K by Medicaid between May 2019 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoPEBBLE CREEK MEDICAL GROUP PLLC
GOODYEAR, AZ 85338

33aNPI1790213064assigned 05/31/2017

33bProvider typeInternal Medicine Physician

28Total paid$244K

24GClaims7,820

24DCodes billed6

24AFirst – last monthMay 2019 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Arizona

Rank by total paid#122 of 395

Median peer was paid$68K

This provider vs. median3.6×

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	370	$12K
2020	2,732	$65K
2021	2,282	$75K
2022	1,157	$46K
2023	925	$33K
2024incomplete	354	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	86%	3,191	2,733	$209K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	600	539	$30K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	111	109	$3K
90686		<1%	115	102	$2K
90658		<1%	14	13	$46.36
99499		<1%	3,789	1,941	$12.15

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 officialBOMMAKANTI, SANJAY (MD/OWNER)