Hospital
Maricopa County Special Health Care District
Maricopa County Special Health Care District was paid $15.39M by Medicaid between Jan 2018 and Dec 2024, across 118 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
PHOENIX, AZ 85041
PHOENIX, AZ 85041
33aNPI1891114641assigned 04/09/2014
33bProvider typeGeneral Acute Care Hospital
28Total paid$15.39M
24GClaims237,492
24DCodes billed118
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Arizona
Rank by total paid#36 of 78
Median peer was paid$12.21M
This provider vs. median1.3×
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 | 46,446 | $2.47M | |
| 2019 | 45,679 | $2.33M | |
| 2020 | 24,447 | $2.19M | |
| 2021 | 28,831 | $2.24M | |
| 2022 | 30,408 | $2.07M | |
| 2023 | 30,153 | $2.09M | |
| 2024incomplete | 31,528 | $2.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 55,003 | 44,968 | $15.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 36,003 | 23,710 | $15K |
| T1016 | Case management, each 15 minutes | <1% | 609 | 510 | $14K |
| 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 | <1% | 20,842 | 14,992 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,572 | 1,515 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,969 | 1,197 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,256 | 2,700 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,647 | 2,150 | $2K |
| 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% | 2,014 | 1,560 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,893 | 1,728 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 7,404 | 6,954 | $1K |
| 80074 | <1% | 484 | 430 | $531.94 |
106 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,171 | $342.06 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,017 | $324.91 |
| 99381 | <1% | 18 | $321.70 | |
| 86480 | <1% | 352 | $279.23 | |
| 80061 | Lipid panel | <1% | 5,602 | $243.45 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 616 | $191.87 |
| 86803 | <1% | 335 | $183.94 | |
| 90474 | <1% | 210 | $114.02 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,374 | $69.59 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,546 | $44.40 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,076 | $34.54 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 339 | $25.61 |
| 82570 | <1% | 1,323 | $11.23 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,579 | $9.95 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 1,976 | $0.00 |
| 90656 | 0% | 173 | $0.00 | |
| 86780 | 0% | 226 | $0.00 | |
| 86592 | 0% | 1,224 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 6,437 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 440 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 913 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 2,198 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 13,418 | $0.00 |
| 90686 | 0% | 2,605 | $0.00 | |
| 85027 | 0% | 474 | $0.00 | |
| 99383 | 0% | 22 | $0.00 | |
| 3079F | 0% | 905 | $0.00 | |
| 3080F | 0% | 362 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 2,346 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 808 | $0.00 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 333 | $0.00 |
| 81001 | 0% | 425 | $0.00 | |
| 3074F | 0% | 2,449 | $0.00 | |
| 82043 | 0% | 1,249 | $0.00 | |
| 1126F | 0% | 1,250 | $0.00 | |
| 82962 | 0% | 174 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 422 | $0.00 |
| 87430 | 0% | 96 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 1,105 | $0.00 |
| 82607 | 0% | 288 | $0.00 | |
| 3075F | 0% | 642 | $0.00 | |
| 83550 | 0% | 132 | $0.00 | |
| 90674 | 0% | 836 | $0.00 | |
| 90723 | 0% | 153 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 48 | $0.00 |
| 3044F | 0% | 119 | $0.00 | |
| 99385 | 0% | 64 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 75 | $0.00 |
| 90680 | 0% | 182 | $0.00 | |
| 90698 | 0% | 47 | $0.00 | |
| 1125F | 0% | 130 | $0.00 | |
| T1002 | Rn services, up to 15 minutes | 0% | 27 | $0.00 |
| 3049F | 0% | 14 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 39 | $0.00 |
| 3048F | 0% | 70 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 153 | $0.00 |
| 90480 | 0% | 41 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 68 | $0.00 |
| 82728 | 0% | 26 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 38 | $0.00 |
| 90732 | 0% | 27 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 28 | $0.00 |
| 90696 | 0% | 12 | $0.00 | |
| 82746 | 0% | 13 | $0.00 | |
| 90670 | 0% | 861 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 2,197 | $0.00 |
| H2027 | Psychoeducational service, per 15 minutes | 0% | 95 | $0.00 |
| 90685 | 0% | 196 | $0.00 | |
| H2014 | Skills training and development, per 15 minutes | 0% | 966 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,055 | $0.00 |
| 1159F | 0% | 2,974 | $0.00 | |
| 90715 | 0% | 1,016 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 73 | $0.00 |
| 84450 | 0% | 61 | $0.00 | |
| 1160F | 0% | 2,110 | $0.00 | |
| 3077F | 0% | 612 | $0.00 | |
| 90734 | 0% | 193 | $0.00 | |
| 85610 | 0% | 49 | $0.00 | |
| 85007 | 0% | 474 | $0.00 | |
| 90648 | 0% | 208 | $0.00 | |
| 90649 | 0% | 526 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 408 | $0.00 |
| 81003 | 0% | 2,195 | $0.00 | |
| 90633 | 0% | 220 | $0.00 | |
| 81025 | 0% | 900 | $0.00 | |
| 3078F | 0% | 2,391 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 436 | $0.00 |
| 83655 | 0% | 184 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 136 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 216 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 57 | $0.00 |
| 83540 | 0% | 138 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 230 | $0.00 |
| 81513 | 0% | 68 | $0.00 | |
| 84439 | 0% | 196 | $0.00 | |
| 90710 | 0% | 27 | $0.00 | |
| 91322 | 0% | 30 | $0.00 | |
| 87481 | 0% | 68 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 134 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 28 | $0.00 |
| 84460 | 0% | 61 | $0.00 | |
| 87631 | 0% | 48 | $0.00 | |
| 90682 | 0% | 58 | $0.00 | |
| 82274 | 0% | 13 | $0.00 | |
| 90653 | 0% | 16 | $0.00 | |
| 90671 | 0% | 12 | $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 (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 | Peoria, AZ | $9.69M |
| 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.