PWC II
PWC II was paid $1.15M by Medicaid between Jan 2018 and Jan 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPWC II
PRESCOTT, AZ 86305
PRESCOTT, AZ 86305
33aNPI1932283686assigned 10/25/2006
33bProvider typeSpecialist
28Total paid$1.15M
24GClaims25,045
24DCodes billed24
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Specialist providers in Arizona
Rank by total paid#35 of 179
Median peer was paid$112K
This provider vs. median10×
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 | 3,498 | $159K | |
| 2019 | 4,399 | $143K | |
| 2020 | 4,323 | $170K | |
| 2021 | 4,636 | $241K | |
| 2022 | 3,659 | $221K | |
| 2023 | 4,085 | $177K | |
| 2024incomplete | 445 | $38K |
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 | 36% | 14,622 | 11,136 | $410K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 14% | 1,664 | 1,645 | $161K |
| 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 | 13% | 1,881 | 1,702 | $145K |
| 76830 | Ultrasound, transvaginal | 8.7% | 1,226 | 1,157 | $99K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 5.7% | 1,027 | 970 | $66K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 4.5% | 700 | 681 | $52K |
| 99385 | 3.9% | 398 | 395 | $45K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.0% | 436 | 403 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 1,007 | 968 | $31K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.2% | 244 | 240 | $26K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 1,050 | 978 | $17K |
| 59426 | 1.3% | 13 | 13 | $14K |
12 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 121 | $13K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 157 | $11K |
| 59025 | Fetal non-stress test | <1% | 228 | $10K |
| 59425 | <1% | 13 | $5K | |
| 99386 | <1% | 26 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $3K |
| 58301 | <1% | 14 | $1K | |
| 76801 | <1% | 12 | $897.12 | |
| 87210 | <1% | 74 | $363.44 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 63 | $294.55 |
| 81025 | <1% | 27 | $229.66 | |
| 76376 | <1% | 16 | $51.37 |
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 officialOHANESIAN, RICHARD (PARTNER)