Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Phoenix › NPI 1922112044
Physician

Phoenix Children's Hospital

Phoenix Children's Hospital was paid $162.37M by Medicaid between Jan 2018 and Dec 2024, across 380 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 11% of everything it billed.

33Billing provider infoPHOENIX CHILDREN'S HOSPITAL
PHOENIX, AZ 85016
33aNPI1922112044assigned 08/18/2006
33bProvider typePediatrics Physician
28Total paid$162.37M
24GClaims2,756,515
24DCodes billed380
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Arizona

Rank by total paid#1 of 235
Median peer was paid$164K
This provider vs. median991×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018327,369$21.38M
2019389,399$23.64M
2020321,824$16.64M
2021396,285$23.12M
2022437,050$24.72M
2023452,750$27.38M
2024incomplete431,838$25.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 11% 247,926 237,699 $17.08M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.5% 233,505 231,211 $13.81M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.8% 105,523 104,036 $11.02M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.4% 204,467 195,061 $10.44M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.2% 133,627 63,467 $8.39M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.0% 90,192 84,106 $8.05M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.8% 85,443 37,303 $7.82M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4.0% 54,617 53,555 $6.57M
99244 Office or other outpatient consultation, moderate to high complexity 3.5% 39,823 39,322 $5.70M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.5% 37,665 37,105 $5.63M
99243 2.2% 36,360 35,902 $3.60M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.1% 38,496 37,138 $3.34M
368 more codes
90460 Immunization administration through 18 years of age via any route, first or only component 1.9% 73,352 $3.10M
99285 Emergency room visit (most serious) 1.8% 19,237 $2.99M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.6% 70,608 $2.64M
88305 Level IV - Surgical pathology, gross and microscopic examination 1.6% 14,390 $2.58M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.5% 35,448 $2.51M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1.2% 5,444 $1.94M
92015 Determination of refractive state 1.1% 90,615 $1.79M
99203 Doctor's office visit, new patient (routine) 1.1% 29,335 $1.78M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 23,050 $1.71M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 8,504 $1.60M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 26,744 $1.54M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 17,691 $1.49M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 17,966 $1.46M
99239 Hospital discharge day management, more than 30 minutes <1% 15,248 $1.46M
95720 <1% 6,411 $1.24M
99222 Initial hospital care, per day, moderate complexity <1% 10,033 $1.20M
70551 Magnetic resonance imaging, brain; without contrast material <1% 19,203 $1.19M
99204 Doctor's office visit, new patient (more involved) <1% 12,074 $1.13M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 13,062 $1.08M
99245 <1% 6,269 $1.05M
71045 Radiologic examination, chest; single view <1% 93,708 $831K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 88,849 $772K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 6,881 $752K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 7,486 $745K
95951 <1% 2,059 $730K
93320 <1% 36,945 $723K
97803 <1% 16,622 $721K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 25,600 $718K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 5,319 $699K
01922 <1% 1,817 $640K
76770 <1% 18,862 $627K
71046 Radiologic examination, chest; 2 views <1% 59,840 $624K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 2,059 $580K
90791 Psychiatric diagnostic evaluation <1% 5,563 $579K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 1,526 $524K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 5,538 $518K
92060 <1% 7,630 $473K
74018 <1% 54,174 $470K
S9470 Nutritional counseling, dietitian visit <1% 3,195 $446K
99242 <1% 6,331 $434K
99480 Subsequent intensive care, per day, low birth weight infant <1% 4,074 $429K
70450 Computed tomography, head or brain; without contrast material <1% 10,352 $419K
99238 Hospital discharge day management, 30 minutes or less <1% 5,668 $375K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,875 $364K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 3,136 $352K
95782 <1% 2,102 $336K
95819 <1% 5,375 $320K
99205 Prolong outpt/office vis <1% 2,253 $264K
99417 Prolong home eval add 15m <1% 4,316 $240K
99255 <1% 1,389 $238K
74019 <1% 20,552 $227K
88342 <1% 6,190 $225K
93325 <1% 47,663 $222K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 3,067 $218K
99254 <1% 1,517 $214K
90837 Psychotherapy session, about an hour <1% 2,670 $214K
97802 <1% 3,075 $205K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,267 $193K
92587 <1% 9,795 $189K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 5,437 $188K
96156 <1% 2,096 $186K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 5,148 $185K
92567 <1% 12,100 $180K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 11,001 $172K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,576 $164K
00170 Anesthesia for intraoral procedures, including biopsy <1% 627 $164K
25600 <1% 488 $163K
95816 <1% 2,713 $159K
99223 Prolong inpt eval add15 m <1% 981 $159K
88108 <1% 6,789 $151K
92579 <1% 3,179 $147K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,342 $134K
88307 <1% 1,111 $116K
90834 Psychotherapy session, about 45 minutes <1% 1,956 $115K
54161 <1% 770 $114K
88341 <1% 1,038 $110K
73090 <1% 12,854 $104K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 4,301 $101K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 6,064 $99K
99219 <1% 888 $99K
74230 <1% 3,852 $99K
44970 <1% 158 $97K
22899 <1% 42 $94K
94060 <1% 7,266 $89K
94621 <1% 1,272 $85K
D8670 Periodic orthodontic treatment visit <1% 1,384 $85K
76376 <1% 8,939 $85K
88304 <1% 6,864 $82K
64642 <1% 940 $78K
93975 <1% 1,340 $75K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,465 $75K
85060 <1% 3,447 $75K
96112 <1% 637 $74K
93000 <1% 4,292 $67K
99253 <1% 658 $65K
67311 <1% 108 $65K
54300 <1% 109 $64K
64643 <1% 828 $64K
T1016 Case management, each 15 minutes <1% 1,174 $62K
92201 <1% 2,687 $61K
90461 <1% 1,692 $60K
95251 <1% 1,718 $56K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,140 $55K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 832 $54K
73610 <1% 6,395 $53K
93793 <1% 5,352 $53K
94010 <1% 6,251 $52K
96131 <1% 261 $51K
96167 <1% 786 $51K
99292 <1% 379 $51K
96450 <1% 633 $49K
76825 <1% 651 $48K
73080 <1% 5,412 $48K
73630 <1% 5,626 $45K
31622 <1% 554 $45K
93227 <1% 1,706 $44K
96113 <1% 619 $44K
93976 <1% 1,068 $42K
85097 <1% 910 $42K
99335 <1% 531 $41K
85390 <1% 1,093 $40K
96130 <1% 573 $40K
92002 <1% 495 $39K
99464 <1% 633 $38K
73590 <1% 4,739 $38K
73521 <1% 3,577 $37K
90792 Psychiatric diagnostic evaluation with medical services <1% 434 $37K
72082 <1% 2,576 $37K
73140 <1% 5,365 $37K
49452 <1% 269 $34K
93304 <1% 646 $34K
97161 <1% 340 $33K
90472 Immunization administration, each additional vaccine (list separately) <1% 850 $31K
99418 Prolong nursin fac eval 15m <1% 295 $31K
31624 <1% 252 $30K
69210 <1% 641 $29K
88300 <1% 6,591 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 661 $28K
93244 <1% 1,180 $28K
29075 <1% 432 $27K
93272 <1% 1,020 $26K
D0367 <1% 192 $26K
76498 <1% 22 $25K
72141 <1% 395 $25K
76536 <1% 953 $24K
73130 <1% 2,832 $23K
92552 <1% 1,110 $23K
73110 <1% 2,652 $22K
31526 <1% 221 $22K
90832 Psychotherapy session, about 30 minutes <1% 492 $22K
93321 <1% 2,504 $21K
31575 <1% 181 $20K
26720 <1% 106 $19K
92555 <1% 767 $19K
74240 <1% 504 $19K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 472 $19K
94664 <1% 1,519 $18K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 479 $18K
99177 <1% 846 $18K
29450 <1% 126 $18K
93356 <1% 1,804 $17K
76827 <1% 683 $17K
99217 <1% 246 $17K
77072 <1% 1,820 $17K
93228 <1% 617 $16K
70486 <1% 417 $16K
73100 <1% 1,920 $16K
70544 <1% 301 $16K
73562 <1% 1,759 $15K
95873 <1% 882 $15K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 499 $15K
77073 <1% 1,203 $15K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,023 $15K
99460 <1% 215 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,973 $14K
99252 <1% 221 $14K
96150 <1% 223 $14K
81002 <1% 4,467 $14K
98928 <1% 252 $14K
76942 <1% 493 $13K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 246 $13K
76506 <1% 405 $12K
36512 <1% 130 $12K
98927 <1% 273 $12K
92285 <1% 508 $12K
88312 <1% 412 $12K
92551 <1% 5,615 $11K
76604 <1% 485 $11K
99478 <1% 93 $11K
95886 <1% 212 $11K
87400 <1% 405 $11K
99381 <1% 125 $11K
93971 <1% 512 $11K
29888 <1% 12 $11K
92550 <1% 486 $10K
00300 <1% 34 $10K
95076 <1% 151 $10K
29085 <1% 146 $10K
0071A <1% 128 $10K
96161 <1% 14,274 $9K
99442 <1% 125 $9K
95012 <1% 662 $9K
92226 <1% 245 $9K
93280 <1% 225 $9K
93294 <1% 290 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 146 $8K
72146 <1% 133 $8K
87807 <1% 613 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 300 $8K
96158 <1% 118 $8K
85018 <1% 3,115 $8K
96155 <1% 217 $8K
0072A <1% 102 $7K
77001 <1% 409 $7K
72158 <1% 86 $7K
99471 <1% 12 $7K
99475 <1% 13 $7K
76882 <1% 276 $7K
96154 <1% 105 $7K
72157 <1% 79 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 372 $7K
96160 <1% 4,540 $7K
73552 <1% 730 $6K
96168 <1% 168 $6K
74712 <1% 53 $6K
70543 <1% 69 $6K
83020 <1% 383 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 185 $6K
97750 <1% 141 $6K
72081 <1% 509 $6K
88313 <1% 274 $6K
00731 <1% 26 $6K
90847 Family psychotherapy with the patient present, 50 minutes <1% 86 $6K
99173 <1% 7,628 $5K
76870 <1% 173 $5K
76937 <1% 388 $5K
72156 <1% 66 $5K
36415 Collection of venous blood by venipuncture <1% 1,507 $5K
93784 <1% 110 $5K
99356 <1% 57 $5K
D0350 <1% 224 $5K
64640 <1% 45 $5K
99443 <1% 42 $4K
95991 <1% 123 $4K
99383 <1% 39 $4K
96137 <1% 98 $4K
95117 <1% 321 $4K
75557 <1% 40 $4K
73000 <1% 425 $3K
76010 <1% 390 $3K
43762 <1% 93 $3K
85576 <1% 180 $3K
36011 <1% 33 $3K
91122 <1% 38 $3K
00140 <1% 12 $3K
96127 <1% 605 $3K
77075 <1% 108 $3K
93597 <1% 21 $3K
92250 <1% 102 $3K
99462 <1% 92 $3K
76981 <1% 93 $3K
92225 <1% 73 $3K
94770 <1% 360 $2K
92558 <1% 312 $2K
D0160 <1% 93 $2K
99220 <1% 13 $2K
92582 <1% 26 $2K
99221 <1% 26 $2K
94726 <1% 173 $2K
93505 <1% 12 $2K
76800 <1% 41 $2K
92556 <1% 56 $2K
99235 <1% 13 $2K
90686 <1% 16,578 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 169 $2K
73560 <1% 225 $2K
73030 <1% 174 $2K
72100 <1% 155 $2K
75561 <1% 14 $2K
97016 <1% 135 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 80 $1K
96116 <1% 17 $1K
90677 <1% 364 $1K
99347 <1% 30 $1K
78816 <1% 12 $1K
73070 <1% 144 $1K
70491 <1% 12 $1K
93567 <1% 35 $1K
96136 <1% 85 $1K
93568 <1% 28 $1K
99241 <1% 28 $1K
75565 <1% 102 $1K
93308 <1% 45 $1K
94729 <1% 106 $1K
0081A <1% 12 $991.85
30802 <1% 12 $968.72
29130 <1% 32 $967.06
72170 <1% 126 $939.17
96170 <1% 13 $936.56
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 24 $909.79
99174 <1% 309 $902.16
41899 Unlisted procedure, dentoalveolar structures <1% 28 $895.83
29125 <1% 21 $881.94
71555 <1% 12 $862.81
76514 <1% 125 $855.74
70250 <1% 94 $832.65
73060 <1% 100 $820.77
29065 <1% 12 $791.35
99348 <1% 12 $782.37
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 12 $772.58
90670 <1% 7,016 $742.72
D0470 <1% 12 $677.18
70487 <1% 13 $666.19
77080 <1% 70 $654.30
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 80 $641.03
92083 <1% 15 $600.93
95812 <1% 12 $595.92
74270 <1% 12 $583.30
86077 <1% 14 $581.95
92553 <1% 12 $537.18
90698 <1% 3,912 $526.28
0001A <1% 13 $520.80
64447 <1% 12 $485.94
62370 <1% 16 $481.40
92133 <1% 13 $464.01
88344 <1% 12 $434.88
D9430 <1% 42 $390.24
95972 <1% 13 $389.45
90480 <1% 12 $351.71
86580 <1% 44 $335.67
87420 <1% 25 $330.48
73660 <1% 52 $291.81
95885 <1% 15 $225.97
90734 <1% 486 $215.95
72070 <1% 24 $213.27
94760 <1% 582 $212.26
74455 <1% 12 $194.49
73564 <1% 18 $175.55
74021 <1% 14 $134.91
73620 <1% 18 $122.87
70360 <1% 14 $119.86
81025 <1% 15 $82.47
88720 <1% 12 $59.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 59 $57.65
99000 <1% 474 $55.48
90680 <1% 2,463 $47.68
90744 <1% 1,070 $27.59
90685 <1% 740 $19.32
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 63 $8.14
90700 <1% 854 $3.67
90651 <1% 913 $0.07
90656 0% 197 $0.00
99024 0% 154 $0.00
90619 0% 52 $0.00
90716 0% 464 $0.00
90647 0% 188 $0.00
90620 0% 41 $0.00
90696 0% 24 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 26 $0.00
91307 0% 19 $0.00
94762 0% 15 $0.00
90633 0% 1,108 $0.00
G9920 Screening performed and negative 0% 468 $0.00
90713 0% 398 $0.00
90648 0% 177 $0.00
90707 0% 432 $0.00
90710 0% 25 $0.00
90715 0% 109 $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 officialFAROUGH, RAHEEL (SVP, MANAGED CARE & PAYOR STRATEGY)
Parent organizationPHOENIX CHILDREN'S HOSPITAL
Same official

Other billing entities under FAROUGH, RAHEEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.