Clinic
Maricopa County Special Health Care District
Maricopa County Special Health Care District was paid $9.69M by Medicaid between Jan 2018 and Oct 2024, across 42 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 85% of everything it billed.
33Billing provider infoMARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
PEORIA, AZ 85345
PEORIA, AZ 85345
33aNPI1821415902assigned 03/26/2014
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$9.69M
24GClaims175,871
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Arizona
Rank by total paid#4 of 129
Median peer was paid$2.64M
This provider vs. median3.7×
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 | 16,959 | $1.48M | |
| 2019 | 18,695 | $1.39M | |
| 2020 | 21,243 | $1.31M | |
| 2021 | 23,933 | $1.16M | |
| 2022 | 29,482 | $1.39M | |
| 2023 | 38,377 | $1.72M | |
| 2024incomplete | 27,182 | $1.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 85% | 42,168 | 3,347 | $8.23M |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 7.5% | 2,266 | 844 | $728K |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 4.9% | 2,491 | 227 | $480K |
| J0606 | Injection, etelcalcetide, 0.1 mg | 1.6% | 2,293 | 269 | $157K |
| Q5105 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units | 1.0% | 12,507 | 1,276 | $100K |
| A4690 | Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each | <1% | 29,041 | 2,509 | $581.47 |
| 87340 | 0% | 818 | 785 | $0.00 | |
| 83550 | 0% | 2,972 | 2,944 | $0.00 | |
| 85018 | 0% | 8,378 | 2,911 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 13,930 | 3,349 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 3,064 | 2,952 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 440 | 434 | $0.00 |
30 more codes
| 82728 | 0% | 984 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 2,926 | $0.00 |
| 90480 | 0% | 35 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 441 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 232 | $0.00 |
| 86803 | 0% | 570 | $0.00 | |
| 83735 | 0% | 960 | $0.00 | |
| 84132 | 0% | 84 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 288 | $0.00 |
| 86706 | 0% | 393 | $0.00 | |
| 86704 | 0% | 244 | $0.00 | |
| 0134A | 0% | 22 | $0.00 | |
| 90656 | 0% | 27 | $0.00 | |
| 0012A | 0% | 26 | $0.00 | |
| 90686 | 0% | 121 | $0.00 | |
| 90739 | 0% | 16 | $0.00 | |
| 83970 | 0% | 2,081 | $0.00 | |
| 84520 | 0% | 3,397 | $0.00 | |
| 85014 | 0% | 8,378 | $0.00 | |
| J1643 | Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units | 0% | 1,647 | $0.00 |
| 84100 | 0% | 4,161 | $0.00 | |
| J1644 | Injection, heparin sodium, per 1000 units | 0% | 20,994 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 3,213 | $0.00 |
| 83540 | 0% | 2,972 | $0.00 | |
| A4640 | Replacement pad for use with medically necessary alternating pressure pad owned by patient | 0% | 436 | $0.00 |
| 82108 | 0% | 252 | $0.00 | |
| 82310 | 0% | 271 | $0.00 | |
| 86480 | 0% | 269 | $0.00 | |
| 0124A | 0% | 28 | $0.00 | |
| 91322 | 0% | 35 | $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 officialFOWLER, PAMELA (SYSTEM DIRECTOR OF REIMBURSEMENT)
| Provider | Location | Paid |
|---|---|---|
| Maricopa County Special Health Care District | Phoenix, AZ | $251.46M |
| Maricopa County Special Health Care District | Phoenix, AZ | $19.60M |
| Maricopa County Special Health Care District | Avondale, AZ | $18.89M |
| Maricopa County Special Health Care District | Chandler, AZ | $17.70M |
| Maricopa County Special Health Care District | Phoenix, AZ | $15.77M |
| Maricopa County Special Health Care District | Phoenix, AZ | $15.39M |
| Maricopa County Special Heallth Care District | Mesa, AZ | $24K |
| Maricopa County Special Health Care District | Phoenix, AZ | $15K |
| Maricopa County Special Health Care District | Phoenix, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.