Physician
Cactus Childrens Clinic PC
Cactus Childrens Clinic PC was paid $6.00M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoCACTUS CHILDRENS CLINIC PC
GLENDALE, AZ 85308
GLENDALE, AZ 85308
33aNPI1891850145assigned 12/27/2006
33bProvider typePediatrics Physician
28Total paid$6.00M
24GClaims156,090
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#16 of 235
Median peer was paid$164K
This provider vs. median37×
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 | 24,651 | $799K | |
| 2019 | 25,877 | $829K | |
| 2020 | 22,984 | $744K | |
| 2021 | 21,633 | $897K | |
| 2022 | 24,028 | $1.03M | |
| 2023 | 21,538 | $960K | |
| 2024incomplete | 15,379 | $745K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 40,985 | 37,671 | $2.04M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 25,235 | 24,755 | $1.22M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 10,653 | 10,476 | $805K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 9,240 | 9,101 | $671K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 8,052 | 7,915 | $575K |
| 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 | 4.0% | 3,211 | 3,073 | $240K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 2,720 | 2,670 | $202K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 1,602 | 1,579 | $68K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,920 | 2,816 | $44K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,822 | 1,760 | $42K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,310 | 1,086 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,213 | 1,966 | $25K |
32 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 628 | $18K |
| 96127 | <1% | 2,397 | $9K | |
| 96160 | <1% | 1,404 | $4K | |
| 99383 | <1% | 46 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 35 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $882.89 |
| 90686 | <1% | 7,157 | $725.11 | |
| 99188 | <1% | 37 | $620.35 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $599.40 |
| 90700 | <1% | 8,879 | $565.72 | |
| 90670 | <1% | 5,412 | $479.48 | |
| 99000 | <1% | 270 | $362.43 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $204.90 |
| 90713 | <1% | 5,991 | $131.54 | |
| 90651 | <1% | 167 | $116.93 | |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 15 | $96.13 |
| 90716 | <1% | 793 | $91.30 | |
| 90680 | <1% | 2,530 | $88.97 | |
| 90707 | <1% | 731 | $86.89 | |
| 90648 | <1% | 5,834 | $80.99 | |
| 90633 | <1% | 1,045 | $73.62 | |
| 90671 | <1% | 413 | $15.43 | |
| 90687 | <1% | 103 | $15.09 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | $1.92 |
| 90685 | 0% | 532 | $0.00 | |
| 90734 | 0% | 67 | $0.00 | |
| 99072 | 0% | 25 | $0.00 | |
| 90715 | 0% | 35 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 36 | $0.00 |
| 90744 | 0% | 1,176 | $0.00 | |
| 90656 | 0% | 81 | $0.00 | |
| 90688 | 0% | 234 | $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 officialVARGAS, JASON (TREASURER/OWNER)