Canyon Pediatrics, INC

Canyon Pediatrics, INC was paid $7.88M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoCANYON PEDIATRICS, INC
GILBERT, AZ 85234

33aNPI1831185362assigned 09/20/2005

33bProvider typeFamily Medicine Physician

28Total paid$7.88M

24GClaims202,986

24DCodes billed83

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Arizona

Rank by total paid#13 of 442

Median peer was paid$77K

This provider vs. median102×

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	10,819	$380K
2019	17,600	$572K
2020	32,793	$1.04M
2021	47,350	$1.69M
2022	37,545	$1.62M
2023	32,349	$1.44M
2024incomplete	24,530	$1.12M

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	28%	28,665	26,906	$2.22M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	36,461	33,694	$1.89M
90460	Immunization administration through 18 years of age via any route, first or only component	9.3%	21,111	20,354	$734K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.4%	7,424	7,318	$580K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	7.0%	6,526	6,404	$550K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.8%	5,694	5,592	$453K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.6%	4,787	4,655	$363K
90461		3.2%	4,765	4,532	$250K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	8,193	7,964	$115K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	3,001	1,572	$93K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.1%	2,907	2,817	$84K
97802		<1%	4,597	4,336	$78K

71 more codes

92551		<1%	9,456	$70K
96160		<1%	21,327	$52K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	2,319	$32K
99203	Doctor's office visit, new patient (routine)	<1%	473	$32K
99381		<1%	310	$27K
90671		<1%	654	$24K
99215	Doctor's office visit, returning patient (complex)	<1%	219	$23K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	922	$22K
0002A		<1%	308	$16K
99173		<1%	9,097	$16K
99383		<1%	166	$15K
95144		<1%	137	$14K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,057	$14K
0071A		<1%	183	$13K
0001A		<1%	313	$13K
95117		<1%	1,419	$12K
0072A		<1%	147	$11K
99204	Doctor's office visit, new patient (more involved)	<1%	101	$10K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	107	$8K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	88	$8K
96127		<1%	1,082	$4K
99384		<1%	41	$4K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	16	$4K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	213	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	55	$2K
99484		<1%	86	$2K
90792	Psychiatric diagnostic evaluation with medical services	<1%	12	$2K
0004A		<1%	27	$2K
99000		<1%	1,754	$2K
36415	Collection of venous blood by venipuncture	<1%	555	$1K
94760		<1%	1,048	$1K
92567		<1%	42	$545.92
81002		<1%	196	$516.86
90670		<1%	2,421	$257.16
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	15	$195.42
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	74	$139.19
86769		<1%	19	$121.32
0011A		<1%	27	$120.00
99051		<1%	127	$96.12
99401		<1%	125	$63.69
A7015	Aerosol mask, used with dme nebulizer	<1%	99	$54.28
90686		<1%	4,003	$43.54
94761		<1%	16	$19.00
90633		<1%	928	$17.98
99001		<1%	36	$16.06
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	186	$6.70
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	13	$5.92
91300		<1%	268	$0.14
90710		0%	51	$0.00
90621		0%	411	$0.00
90715		0%	173	$0.00
90734		0%	595	$0.00
90681		0%	28	$0.00
T1015	A visit at a community health center or clinic (one all-in rate)	0%	394	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	15	$0.00
90649		0%	27	$0.00
99421		0%	62	$0.00
90661		0%	31	$0.00
G9919	Screening performed and positive and provision of recommendations	0%	37	$0.00
S9470	Nutritional counseling, dietitian visit	0%	55	$0.00
90707		0%	12	$0.00
90698		0%	1,014	$0.00
90651		0%	1,175	$0.00
90619		0%	305	$0.00
90620		0%	439	$0.00
90716		0%	15	$0.00
3008F		0%	365	$0.00
90744		0%	344	$0.00
90697		0%	89	$0.00
90680		0%	905	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	26	$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 officialBRUBAKER, RICHARD (CEO)