Medicaid Provider Spending

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

BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC

NPI: 1841573870 · PHOENIX, AZ 85012 · Multi-Specialty Clinic/Center · NPI assigned 09/26/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more

$36.91M
Total Medicaid Paid
481,080
Total Claims
451,314
Beneficiaries
127
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO)
Parent OrganizationBANNER MEDICAL GROUP
NPI Enumeration Date09/26/2011

Related Entities

Other providers sharing the same authorized official: BIRDI, SHIVA

ProviderCityStateTotal Paid
BANNER CHILDRENS BANNER HEALTH CLINIC LLC PHOENIX AZ $29.69M
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PHOENIX AZ $23.95M
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $14.77M
NORTH COLORADO FAMILY MEDICINE GREELEY CO $5.11M
BANNER CANCER CENTER SPECIALISTS LLC PHOENIX AZ $3.52M
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC GREELEY CO $1.23M
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $541K
TOCA AT BANNER HEALTH LLC PHOENIX AZ $534K
BANNER HEALTH PHYSICIANS WEST LLC TORRINGTON WY $368K
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $361K
BANNER HEALTH PHYSICIANS WEST LLC FALLON NV $233K
BANNER HEALTH PHYSICIANS COLORADO LLC GREELEY CO $64K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC BRUSH CO $52K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC STERLING CO $44K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC LOVELAND CO $39K
BANNER HEALTH PHYSICIANS WEST LLC OGALLALA NE $23K
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $5K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC FORT COLLINS CO $5K
BANNER HEALTH PHYSICIANS COLORADO LLC BRUSH CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61,267 $4.42M
2019 69,429 $5.16M
2020 56,545 $3.71M
2021 66,316 $5.17M
2022 72,464 $6.02M
2023 85,651 $6.77M
2024 69,408 $5.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45,393 44,231 $4.05M
99244 Office or other outpatient consultation, moderate to high complexity 20,935 20,642 $3.68M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23,940 23,626 $3.06M
99239 Hospital discharge day management, more than 30 minutes 26,292 25,572 $2.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,596 35,559 $2.20M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24,081 23,429 $2.05M
99460 24,299 23,922 $1.83M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 13,148 12,521 $1.62M
99215 Prolong outpt/office vis 12,752 12,299 $1.53M
99238 Hospital discharge day management, 30 minutes or less 20,063 19,703 $1.40M
99232 Subsequent hospital care, per day, moderate complexity 20,844 12,565 $1.38M
99233 Prolong inpt eval add15 m 11,273 6,928 $1.08M
99243 6,185 6,111 $713K
99222 Initial hospital care, per day, moderate complexity 5,493 5,415 $709K
99223 Prolong inpt eval add15 m 3,922 3,866 $707K
25600 1,877 1,814 $700K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,797 3,636 $637K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,283 1,274 $437K
93320 13,103 12,392 $403K
93000 19,439 18,988 $336K
94375 7,582 7,468 $320K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 729 399 $281K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,191 1,166 $271K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,167 2,102 $262K
99205 Prolong outpt/office vis 1,531 1,495 $243K
93325 19,777 18,060 $238K
99219 1,899 1,865 $210K
54360 348 341 $210K
99220 1,419 1,388 $197K
93304 2,108 1,867 $195K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,837 5,647 $194K
97803 4,117 4,011 $189K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,294 1,268 $167K
73100 5,066 4,691 $159K
95812 2,188 2,152 $144K
99217 2,148 2,107 $138K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14,135 13,447 $138K
72082 1,718 1,685 $136K
99462 3,822 3,168 $124K
99245 573 569 $124K
99463 1,336 1,330 $115K
97802 1,655 1,633 $111K
54161 753 721 $108K
94664 6,103 5,971 $105K
95720 410 374 $97K
99471 127 126 $95K
95012 3,943 3,893 $81K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 361 119 $78K
92250 3,102 1,740 $72K
95782 445 432 $57K
45380 Colonoscopy, flexible; with biopsy, single or multiple 240 234 $54K
83036 Hemoglobin; glycosylated (A1C) 4,915 4,829 $54K
29075 671 642 $52K
96112 397 388 $49K
93321 2,900 2,559 $49K
95251 1,184 1,167 $43K
73562 1,000 976 $43K
64642 296 295 $37K
99254 234 225 $36K
92587 1,349 1,344 $31K
92567 1,685 1,678 $29K
64643 269 268 $29K
29065 286 266 $24K
95816 375 360 $23K
44970 58 53 $23K
96113 389 380 $22K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 376 354 $21K
95951 56 51 $17K
99417 Prolong home eval add 15m 355 349 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 267 266 $16K
73610 470 431 $16K
96118 66 42 $15K
42830 64 62 $15K
76825 64 64 $15K
90837 Psychotherapy, 53 minutes with patient 103 74 $14K
94760 14,678 13,169 $14K
95819 222 213 $14K
73070 448 412 $12K
73080 351 298 $12K
54164 87 86 $10K
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 377 363 $10K
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 515 476 $9K
54300 15 14 $9K
73140 240 224 $8K
73090 275 247 $7K
Q4012 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass 583 564 $7K
73560 209 202 $7K
95873 311 310 $7K
95811 54 53 $7K
99235 40 39 $7K
92556 136 136 $6K
94060 97 94 $5K
92579 111 111 $5K
90847 Family psychotherapy with the patient present, 50 minutes 55 37 $4K
92552 108 107 $4K
99477 14 13 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 83 69 $4K
76827 62 62 $4K
72170 99 91 $3K
92555 103 103 $3K
73590 95 88 $3K
99253 25 25 $3K
95813 25 24 $2K
73110 44 28 $2K
99242 12 12 $1K
99442 39 39 $834.80
93272 24 24 $650.88
92002 12 12 $573.32
99281 Emergency department visit for the evaluation and management, self-limited or minor 28 12 $547.05
73630 16 16 $543.18
99441 44 44 $447.11
99443 12 12 $434.08
73000 13 13 $331.30
80053 Comprehensive metabolic panel 74 54 $216.45
36415 Collection of venous blood by venipuncture 45 41 $141.03
36416 602 499 $64.04
99499 1,413 1,370 $9.18
1111F 1,771 1,735 $1.32
1159F 2,063 2,004 $1.19
1160F 1,949 1,901 $1.04
3074F 1,327 1,306 $0.72
3078F 1,299 1,275 $0.71
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 132 131 $0.00
81003 29 26 $0.00
4040F 12 12 $0.00
54150 14 13 $0.00
99024 20 20 $0.00