Critical Care Consultants of Arizona PLLC

Critical Care Consultants of Arizona PLLC was paid $2.61M by Medicaid between Jan 2018 and Jul 2023, across 3 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 97% of everything it billed.

33Billing provider infoCRITICAL CARE CONSULTANTS OF ARIZONA PLLC
PRESCOTT, AZ 86301

33aNPI1811094931assigned 09/20/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$2.61M

24GClaims18,482

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Arizona

Rank by total paid#6 of 31

Median peer was paid$567K

This provider vs. median4.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code 99291 with only 3 total codes billed. Highly concentrated billing profile.

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	4,187	$553K
2019	3,042	$416K
2020	3,522	$486K
2021	3,922	$595K
2022	2,675	$399K
2023	1,134	$158K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	97%	17,295	8,536	$2.52M
99292		2.5%	807	728	$65K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	380	255	$22K

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 officialMAPEL, DOUGLAS (AUTHORIZED OFFICAL)

Same official

Other billing entities under MAPEL, DOUGLAS

Full network →

Provider	Location	Paid
Flagstaff Intensive Care Specialists, PLLC	Flagstaff, AZ	$99K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.