Clinic
Phoenix Children's Hospital, INC.
Phoenix Children's Hospital, INC. was paid $3.96M by Medicaid between Jan 2018 and Dec 2023, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoPHOENIX CHILDREN'S HOSPITAL, INC.
AVONDALE, AZ 85392
AVONDALE, AZ 85392
33aNPI1922347723assigned 02/14/2013
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.96M
24GClaims53,958
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in Arizona
Rank by total paid#20 of 81
Median peer was paid$312K
This provider vs. median13×
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 | 8,954 | $772K | |
| 2019 | 9,880 | $784K | |
| 2020 | 4,558 | $330K | |
| 2021 | 8,387 | $572K | |
| 2022 | 14,328 | $963K | |
| 2023 | 7,851 | $538K |
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 | 54% | 27,856 | 27,082 | $2.13M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 30% | 12,406 | 12,056 | $1.19M |
| 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 | 9.7% | 3,877 | 3,670 | $384K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 2,104 | 2,065 | $124K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 784 | 777 | $57K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,908 | 2,765 | $38K |
| 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% | 81 | 79 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 675 | 670 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 409 | 397 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 438 | 431 | $5K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,042 | 991 | $1K |
| 81003 | <1% | 533 | 494 | $858.97 |
7 more codes
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | <1% | 609 | $300.80 |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 34 | $64.27 |
| 87081 | <1% | 85 | $25.60 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 30 | $9.33 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 29 | $0.00 |
| J1741 | Injection, ibuprofen, 100 mg | 0% | 26 | $0.00 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 32 | $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 & PAYER STRATEGY)
Parent organizationPHOENIX CHILDREN'S HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| Phoenix Children's Hospital | Phoenix, AZ | $555.71M |
| Phoenix Children's Hospital | Phoenix, AZ | $162.37M |
| Phoenix Children's Hospital | Phoenix, AZ | $2.43M |
| Phoenix Children's Hospital, INC. | Mesa, AZ | $2.06M |
| Phoenix Children's Hospital, INC. | Glendale, AZ | $971K |
| Phoenix Children's Hospital, INC. | Scottsdale, AZ | $200K |
| Phoenix Children's Hospital, INC. | Phoenix, AZ | $51K |
| Phoenix Children's Hospital, INC. | Mesa, AZ | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.