Physician
Sonoran Pediatric Endocrinology & Diabetes Institute, PLC
Sonoran Pediatric Endocrinology & Diabetes Institute, PLC was paid $705K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 50% of everything it billed.
33Billing provider infoSONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC
MESA, AZ 85202
MESA, AZ 85202
33aNPI1841721461assigned 03/24/2017
33bProvider typePediatric Endocrinology Physician
28Total paid$705K
24GClaims9,725
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
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 | 1,800 | $117K | |
| 2019 | 2,120 | $159K | |
| 2020 | 1,934 | $132K | |
| 2021 | 1,578 | $106K | |
| 2022 | 1,113 | $78K | |
| 2023 | 757 | $69K | |
| 2024incomplete | 423 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 50% | 3,620 | 3,446 | $356K |
| 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 | 26% | 2,649 | 2,526 | $184K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.6% | 586 | 547 | $68K |
| 99205 | Prolong outpt/office vis | 5.2% | 265 | 259 | $36K |
| 99354 | 3.5% | 505 | 345 | $25K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.6% | 1,457 | 1,298 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 75 | 73 | $8K |
| 99245 | <1% | 50 | 44 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 169 | 158 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 294 | 269 | $4K |
| 95251 | <1% | 55 | 53 | $2K |
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 officialGIBBS, BRENDA (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $9.90M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.