Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PUEBLO FAMILY PHYSICIANS LTD

NPI: 1790798072 · PHOENIX, AZ 85015 · Family Medicine Physician · NPI assigned 08/15/2006

$9.43M
Total Medicaid Paid
472,982
Total Claims
387,363
Beneficiaries
170
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNS, RICK (PRACTICE ADMINISTRATOR)
Parent OrganizationPUEBLO FAMILY PHYSICIANS LTD
NPI Enumeration Date08/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80,673 $1.49M
2019 107,639 $1.42M
2020 96,904 $1.47M
2021 59,066 $1.63M
2022 55,225 $1.40M
2023 45,832 $1.18M
2024 27,643 $845K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 83,779 66,096 $5.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,091 25,421 $1.34M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,862 3,640 $312K
95912 1,563 1,535 $310K
95913 1,334 1,320 $305K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20,521 16,443 $247K
93922 4,167 3,897 $232K
94060 4,973 4,598 $182K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,056 1,927 $166K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,995 1,916 $130K
93000 11,006 10,420 $123K
99385 1,292 1,246 $122K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,243 4,880 $104K
99401 3,698 3,152 $100K
99386 758 721 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,057 2,843 $81K
90756 3,375 3,004 $61K
90746 837 768 $42K
J0561 Injection, penicillin g benzathine, 100,000 units 160 91 $37K
99215 Prolong outpt/office vis 468 414 $35K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,621 3,285 $33K
81002 14,163 12,507 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 540 513 $27K
J1071 Injection, testosterone cypionate, 1 mg 5,753 4,155 $20K
90732 336 278 $19K
99000 8,979 7,765 $17K
0013A 242 240 $15K
82947 7,754 6,115 $15K
0011A 393 383 $15K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 10,594 8,625 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 518 505 $14K
0012A 314 313 $13K
99497 1,004 891 $13K
0124A 227 219 $12K
90472 Immunization administration, each additional vaccine (list separately) 909 821 $11K
90739 117 112 $11K
90682 452 339 $9K
99397 314 284 $9K
G0008 Administration of influenza virus vaccine 2,986 2,623 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 82 81 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 271 262 $7K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,340 1,156 $6K
J3490 Unclassified drugs 3,321 2,523 $6K
81025 897 848 $6K
90674 305 261 $5K
0064A 85 80 $4K
90686 333 314 $4K
99402 119 100 $4K
90715 205 169 $4K
96127 715 694 $3K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 1,755 1,605 $2K
99441 61 60 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,834 1,651 $2K
S0077 Injection, clindamycin phosphate, 300 mg 1,710 1,538 $2K
90694 351 300 $2K
90714 155 121 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,932 1,762 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 17 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 360 319 $2K
90688 143 111 $2K
G0444 Annual depression screening, 5 to 15 minutes 1,200 1,030 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,157 3,739 $2K
90661 80 80 $2K
90653 265 239 $2K
0134A 27 26 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 15 15 $1K
90632 26 24 $1K
90480 46 44 $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) 160 136 $828.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 112 98 $792.34
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 53 53 $691.76
97803 283 270 $589.00
99490 Ccm add 20min 187 153 $491.60
86703 38 38 $452.14
69210 14 12 $385.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 3,717 3,439 $358.99
90662 119 96 $326.99
82272 230 193 $319.45
97802 99 98 $175.00
86580 26 25 $156.69
80305 21 15 $87.20
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 74 59 $65.49
69209 12 12 $58.36
82270 12 12 $42.20
99406 94 83 $26.78
1159F 35,324 26,151 $25.88
1160F 35,282 26,124 $25.86
96146 80 64 $22.72
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 16 12 $21.83
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 272 255 $6.64
G0009 Administration of pneumococcal vaccine 14 12 $6.32
2010F 6,343 5,138 $5.85
3074F 18,753 14,674 $3.75
3079F 10,547 8,781 $3.59
G8754 Most recent diastolic blood pressure < 90 mmhg 8,053 5,877 $1.90
3008F 4,279 3,478 $1.88
3078F 16,017 12,715 $1.87
G8752 Most recent systolic blood pressure < 140 mmhg 6,865 5,036 $1.66
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,589 5,224 $1.54
4013F 4,432 3,600 $1.45
3044F 2,482 2,146 $1.25
4293F 1,171 977 $1.08
3075F 5,771 4,902 $0.96
3048F 708 643 $0.96
3500F 805 638 $0.76
4270F 796 636 $0.76
0575F 805 637 $0.75
4010F 664 572 $0.70
3512F 586 552 $0.69
3502F 693 555 $0.66
3077F 3,614 2,992 $0.62
1125F 2,879 2,402 $0.57
3011F 734 696 $0.52
G8753 Most recent systolic blood pressure >= 140 mmhg 1,785 1,450 $0.49
3028F 495 430 $0.47
3511F 430 407 $0.42
3080F 2,314 1,932 $0.39
1034F 1,245 1,047 $0.29
91312 66 64 $0.26
G8755 Most recent diastolic blood pressure >= 90 mmhg 611 509 $0.25
0521F 384 348 $0.24
91320 44 42 $0.22
4086F 1,163 935 $0.20
3049F 223 208 $0.19
3050F 149 138 $0.19
1000F 98 91 $0.15
3498F 82 65 $0.13
3514F 16 14 $0.07
3496F 16 12 $0.07
3513F 15 13 $0.07
4037F 114 108 $0.06
4274F 1,717 1,355 $0.05
2000F 342 255 $0.04
1036F 3,184 2,559 $0.04
G8510 Screening for depression is documented as negative, a follow-up plan is not required 281 251 $0.04
3016F 14 12 $0.04
2001F 704 560 $0.03
G8420 Bmi is documented within normal parameters and no follow-up plan is required 610 504 $0.03
G9902 Patient screened for tobacco use and identified as a tobacco user 178 160 $0.03
G8783 Normal blood pressure reading documented, follow-up not required 580 498 $0.03
4210F 41 40 $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) 315 265 $0.02
G8482 Influenza immunization administered or previously received 986 778 $0.02
G9744 Patient not eligible due to active diagnosis of hypertension 232 163 $0.02
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 425 353 $0.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 744 635 $0.02
G9903 Patient screened for tobacco use and identified as a tobacco non-user 456 393 $0.01
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 281 233 $0.01
1123F 92 81 $0.00
3037F 259 187 $0.00
3061F 27 24 $0.00
3017F 85 77 $0.00
3330F 17 17 $0.00
1101F 458 391 $0.00
1170F 4,604 3,497 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 184 143 $0.00
1111F 1,121 960 $0.00
3503F 16 16 $0.00
1157F 158 128 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 102 64 $0.00
4011F 73 61 $0.00
99091 187 153 $0.00
4040F 277 221 $0.00
3046F 32 24 $0.00
3045F 204 172 $0.00
4004F 268 219 $0.00
99499 40 37 $0.00
1158F 322 279 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 20 18 $0.00
3725F 12 12 $0.00