Clinic
Salt River Pima-Maricopa Indian Community
Salt River Pima-Maricopa Indian Community was paid $17.47M by Medicaid between Jan 2018 and Mar 2022, across 91 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoSALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
SCOTTSDALE, AZ 85256
SCOTTSDALE, AZ 85256
33aNPI1942668991assigned 02/05/2016
33bProvider typeCommunity Health Clinic/Center
28Total paid$17.47M
24GClaims88,399
24DCodes billed91
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Community Health Clinic/Center providers in Arizona
Rank by total paid#2 of 13
Median peer was paid$226K
This provider vs. median77×
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 | 2,141 | $597K | |
| 2019 | 21,463 | $3.44M | |
| 2020 | 22,295 | $4.50M | |
| 2021 | 35,406 | $7.07M | |
| 2022 | 7,094 | $1.87M |
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 | 97% | 34,162 | 24,172 | $17.02M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 8,257 | 7,230 | $329K |
| 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% | 3,675 | 3,418 | $68K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 531 | 425 | $37K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 618 | 554 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,599 | 2,372 | $8K |
| T1016 | Case management, each 15 minutes | <1% | 96 | 76 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 72 | 72 | $42.19 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,903 | 1,857 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,859 | 1,840 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 144 | 144 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 1,826 | 1,805 | $0.00 |
79 more codes
| 99443 | 0% | 2,220 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 367 | $0.00 |
| 36416 | 0% | 1,161 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 203 | $0.00 |
| 90686 | 0% | 793 | $0.00 | |
| 99000 | 0% | 3,872 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 2,563 | $0.00 |
| D1330 | 0% | 1,144 | $0.00 | |
| 96127 | 0% | 28 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,649 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 457 | $0.00 |
| L3050 | Foot, arch support, removable, premolded, metatarsal, each | 0% | 78 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 895 | $0.00 |
| 90680 | 0% | 51 | $0.00 | |
| 99441 | 0% | 485 | $0.00 | |
| 90474 | 0% | 25 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 612 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 52 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 57 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 101 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 169 | $0.00 |
| 90651 | 0% | 26 | $0.00 | |
| 90723 | 0% | 80 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 979 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 67 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 133 | $0.00 |
| 91301 | 0% | 120 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 15 | $0.00 |
| 0011A | 0% | 13 | $0.00 | |
| 90647 | 0% | 98 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 21 | $0.00 |
| 82962 | 0% | 32 | $0.00 | |
| 0012A | 0% | 28 | $0.00 | |
| 98967 | 0% | 16 | $0.00 | |
| D1310 | 0% | 12 | $0.00 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 61 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 41 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 484 | $0.00 |
| 92015 | Determination of refractive state | 0% | 177 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 516 | $0.00 |
| D1354 | 0% | 614 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,668 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 150 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 246 | $0.00 |
| 99071 | 0% | 66 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 108 | $0.00 |
| D0190 | 0% | 3,215 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,139 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 242 | $0.00 |
| 90715 | 0% | 27 | $0.00 | |
| D0270 | 0% | 16 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 160 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 137 | $0.00 |
| 99442 | 0% | 1,395 | $0.00 | |
| D0180 | 0% | 241 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 214 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 554 | $0.00 |
| 90670 | 0% | 237 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 50 | $0.00 |
| 99201 | 0% | 500 | $0.00 | |
| D0191 | 0% | 736 | $0.00 | |
| 2028F | 0% | 199 | $0.00 | |
| D4910 | 0% | 12 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 51 | $0.00 |
| 11721 | 0% | 267 | $0.00 | |
| 99001 | 0% | 37 | $0.00 | |
| 82948 | 0% | 23 | $0.00 | |
| 90736 | 0% | 13 | $0.00 | |
| 90750 | 0% | 12 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | $0.00 |
| 11056 | 0% | 100 | $0.00 | |
| D4341 | 0% | 65 | $0.00 | |
| 90461 | 0% | 33 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 98968 | 0% | 29 | $0.00 | |
| 80061 | Lipid panel | 0% | 120 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 15 | $0.00 |
| 90734 | 0% | 25 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 16 | $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 officialBLAKE, NICHOLE (RCM MANAGER)