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

Pueblo Family Physicians LTD

Pueblo Family Physicians LTD was paid $9.43M by Medicaid between Jan 2018 and Dec 2024, across 170 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoPUEBLO FAMILY PHYSICIANS LTD
PHOENIX, AZ 85015
33aNPI1790798072assigned 08/15/2006
28Total paid$9.43M
24GClaims472,982
24DCodes billed170
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Arizona

Rank by total paid#11 of 442
Median peer was paid$77K
This provider vs. median122×

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$100K$200K2018201920202021202220232024
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
201880,673$1.49M
2019107,639$1.42M
202096,904$1.47M
202159,066$1.63M
202255,225$1.40M
202345,832$1.18M
2024incomplete27,643$845K
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 53% 83,779 66,096 $5.02M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 29,091 25,421 $1.34M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3.3% 3,862 3,640 $312K
95912 3.3% 1,563 1,535 $310K
95913 3.2% 1,334 1,320 $305K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.6% 20,521 16,443 $247K
93922 2.5% 4,167 3,897 $232K
94060 1.9% 4,973 4,598 $182K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.8% 2,056 1,927 $166K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.4% 1,995 1,916 $130K
93000 1.3% 11,006 10,420 $123K
99385 1.3% 1,292 1,246 $122K
158 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 5,243 $104K
99401 1.1% 3,698 $100K
99386 <1% 758 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,057 $81K
90756 <1% 3,375 $61K
90746 <1% 837 $42K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 160 $37K
99215 Doctor's office visit, returning patient (complex) <1% 468 $35K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,621 $33K
81002 <1% 14,163 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 540 $27K
J1071 Injection, testosterone cypionate, 1 mg <1% 5,753 $20K
90732 <1% 336 $19K
99000 <1% 8,979 $17K
0013A <1% 242 $15K
82947 <1% 7,754 $15K
0011A <1% 393 $15K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 10,594 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 518 $14K
0012A <1% 314 $13K
99497 <1% 1,004 $13K
0124A <1% 227 $12K
90472 Immunization administration, each additional vaccine (list separately) <1% 909 $11K
90739 <1% 117 $11K
90682 <1% 452 $9K
99397 <1% 314 $9K
G0008 Administration of influenza virus vaccine <1% 2,986 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 82 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 271 $7K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 1,340 $6K
J3490 Unclassified drugs <1% 3,321 $6K
81025 <1% 897 $6K
90674 <1% 305 $5K
0064A <1% 85 $4K
90686 <1% 333 $4K
99402 <1% 119 $4K
90715 <1% 205 $4K
96127 <1% 715 $3K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 1,755 $2K
99441 <1% 61 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,834 $2K
S0077 Injection, clindamycin phosphate, 300 mg <1% 1,710 $2K
90694 <1% 351 $2K
90714 <1% 155 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,932 $2K
99204 Doctor's office visit, new patient (more involved) <1% 18 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 360 $2K
90688 <1% 143 $2K
G0444 Annual depression screening, 5 to 15 minutes <1% 1,200 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,157 $2K
90661 <1% 80 $2K
90653 <1% 265 $2K
0134A <1% 27 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 15 $1K
90632 <1% 26 $1K
90480 <1% 46 $880.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 160 $828.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 112 $792.34
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 53 $691.76
97803 <1% 283 $589.00
99490 Ccm add 20min <1% 187 $491.60
86703 <1% 38 $452.14
69210 <1% 14 $385.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 3,717 $358.99
90662 <1% 119 $326.99
82272 <1% 230 $319.45
97802 <1% 99 $175.00
86580 <1% 26 $156.69
80305 <1% 21 $87.20
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 74 $65.49
69209 <1% 12 $58.36
82270 <1% 12 $42.20
99406 <1% 94 $26.78
1159F <1% 35,324 $25.88
1160F <1% 35,282 $25.86
96146 <1% 80 $22.72
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 16 $21.83
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 272 $6.64
G0009 Administration of pneumococcal vaccine <1% 14 $6.32
2010F <1% 6,343 $5.85
3074F <1% 18,753 $3.75
3079F <1% 10,547 $3.59
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 8,053 $1.90
3008F <1% 4,279 $1.88
3078F <1% 16,017 $1.87
G8752 Most recent systolic blood pressure < 140 mmhg <1% 6,865 $1.66
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 6,589 $1.54
4013F <1% 4,432 $1.45
3044F <1% 2,482 $1.25
4293F <1% 1,171 $1.08
3075F <1% 5,771 $0.96
3048F <1% 708 $0.96
3500F <1% 805 $0.76
4270F <1% 796 $0.76
0575F <1% 805 $0.75
4010F <1% 664 $0.70
3512F <1% 586 $0.69
3502F <1% 693 $0.66
3077F <1% 3,614 $0.62
1125F <1% 2,879 $0.57
3011F <1% 734 $0.52
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 1,785 $0.49
3028F <1% 495 $0.47
3511F <1% 430 $0.42
3080F <1% 2,314 $0.39
1034F <1% 1,245 $0.29
91312 <1% 66 $0.26
G8755 Most recent diastolic blood pressure >= 90 mmhg <1% 611 $0.25
0521F <1% 384 $0.24
91320 <1% 44 $0.22
4086F <1% 1,163 $0.20
3049F <1% 223 $0.19
3050F <1% 149 $0.19
1000F <1% 98 $0.15
3498F <1% 82 $0.13
3514F <1% 16 $0.07
3496F <1% 16 $0.07
3513F <1% 15 $0.07
4037F <1% 114 $0.06
4274F <1% 1,717 $0.05
2000F <1% 342 $0.04
1036F <1% 3,184 $0.04
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 281 $0.04
3016F <1% 14 $0.04
2001F <1% 704 $0.03
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 610 $0.03
G9902 Patient screened for tobacco use and identified as a tobacco user <1% 178 $0.03
G8783 Normal blood pressure reading documented, follow-up not required <1% 580 $0.03
4210F <1% 41 $0.02
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) <1% 315 $0.02
G8482 Influenza immunization administered or previously received <1% 986 $0.02
G9744 Patient not eligible due to active diagnosis of hypertension <1% 232 $0.02
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented <1% 425 $0.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 744 $0.02
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 456 $0.01
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required <1% 281 $0.01
1123F 0% 92 $0.00
3037F 0% 259 $0.00
3061F 0% 27 $0.00
3017F 0% 85 $0.00
3330F 0% 17 $0.00
1101F 0% 458 $0.00
1170F 0% 4,604 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 184 $0.00
1111F 0% 1,121 $0.00
3503F 0% 16 $0.00
1157F 0% 158 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 102 $0.00
4011F 0% 73 $0.00
99091 0% 187 $0.00
4040F 0% 277 $0.00
3046F 0% 32 $0.00
3045F 0% 204 $0.00
4004F 0% 268 $0.00
99499 0% 40 $0.00
1158F 0% 322 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 0% 20 $0.00
3725F 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 officialJOHNS, RICK (PRACTICE ADMINISTRATOR)
Parent organizationPUEBLO FAMILY PHYSICIANS LTD