Hospital
Maricopa County Special Health Care District
Maricopa County Special Health Care District was paid $18.89M by Medicaid between Jan 2018 and Dec 2024, across 151 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
AVONDALE, AZ 85323
AVONDALE, AZ 85323
33aNPI1982022133assigned 04/04/2014
33bProvider typeGeneral Acute Care Hospital
28Total paid$18.89M
24GClaims319,218
24DCodes billed151
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Arizona
Rank by total paid#30 of 78
Median peer was paid$12.21M
This provider vs. median1.5×
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 | 57,214 | $3.06M | |
| 2019 | 59,819 | $3.01M | |
| 2020 | 39,699 | $2.65M | |
| 2021 | 42,487 | $2.88M | |
| 2022 | 46,588 | $2.95M | |
| 2023 | 36,904 | $2.34M | |
| 2024incomplete | 36,507 | $2.00M |
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 | 100% | 69,834 | 55,532 | $18.83M |
| T1016 | Case management, each 15 minutes | <1% | 2,335 | 1,784 | $39K |
| 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% | 44,647 | 29,361 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,728 | 1,618 | $3K |
| 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% | 25,821 | 19,047 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 12,203 | 11,461 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,583 | 1,556 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,847 | 1,076 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,500 | 2,941 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 956 | 571 | $894.00 |
| 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% | 1,968 | 1,594 | $498.92 |
| 99384 | <1% | 91 | 56 | $447.00 |
139 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,859 | $416.21 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,866 | $316.25 |
| 0064A | <1% | 63 | $160.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 500 | $153.93 |
| 96152 | <1% | 66 | $82.00 | |
| 90474 | <1% | 59 | $57.01 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,169 | $54.19 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 8,694 | $49.03 |
| 0011A | <1% | 62 | $40.00 | |
| 3077F | 0% | 571 | $0.00 | |
| 80074 | 0% | 466 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 654 | $0.00 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 1,558 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 923 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 1,083 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 3,339 | $0.00 |
| 90715 | 0% | 863 | $0.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 15 | $0.00 |
| 80061 | Lipid panel | 0% | 9,921 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 432 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,528 | $0.00 |
| 81003 | 0% | 1,812 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,276 | $0.00 |
| 85007 | 0% | 1,011 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 917 | $0.00 |
| 81025 | 0% | 1,558 | $0.00 | |
| 1159F | 0% | 4,423 | $0.00 | |
| 86038 | 0% | 83 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 1,628 | $0.00 |
| 82570 | 0% | 2,027 | $0.00 | |
| 3078F | 0% | 3,735 | $0.00 | |
| 82274 | 0% | 229 | $0.00 | |
| 90649 | 0% | 501 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 648 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 1,027 | $0.00 |
| 1160F | 0% | 3,386 | $0.00 | |
| 90734 | 0% | 433 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 54 | $0.00 |
| 93976 | 0% | 127 | $0.00 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 38 | $0.00 |
| 84439 | 0% | 868 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 101 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 309 | $0.00 |
| 90621 | 0% | 16 | $0.00 | |
| 90670 | 0% | 621 | $0.00 | |
| 85610 | 0% | 211 | $0.00 | |
| 83540 | 0% | 166 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 199 | $0.00 |
| 90633 | 0% | 238 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 101 | $0.00 |
| 87186 | 0% | 206 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 133 | $0.00 |
| 87631 | 0% | 110 | $0.00 | |
| 96158 | 0% | 35 | $0.00 | |
| 90648 | 0% | 166 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 57 | $0.00 |
| 87338 | 0% | 149 | $0.00 | |
| 73562 | 0% | 31 | $0.00 | |
| 85014 | 0% | 13 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 14 | $0.00 |
| 93975 | 0% | 13 | $0.00 | |
| 90710 | 0% | 28 | $0.00 | |
| 86480 | 0% | 14 | $0.00 | |
| 90662 | 0% | 24 | $0.00 | |
| 90653 | 0% | 36 | $0.00 | |
| 99442 | 0% | 22 | $0.00 | |
| 83655 | 0% | 16 | $0.00 | |
| 90687 | 0% | 41 | $0.00 | |
| 87660 | 0% | 12 | $0.00 | |
| 1125F | 0% | 1,573 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 3,510 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 2,082 | $0.00 |
| 96156 | 0% | 170 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 1,629 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,203 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 1,585 | $0.00 |
| 82043 | 0% | 2,009 | $0.00 | |
| 83550 | 0% | 129 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 169 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 10,070 | $0.00 |
| 99441 | 0% | 109 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 18,783 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 914 | $0.00 |
| 86592 | 0% | 1,192 | $0.00 | |
| 85652 | 0% | 184 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 225 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 356 | $0.00 |
| 3079F | 0% | 615 | $0.00 | |
| 82607 | 0% | 1,127 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 189 | $0.00 |
| 3074F | 0% | 3,057 | $0.00 | |
| 90674 | 0% | 1,027 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 441 | $0.00 |
| 87081 | 0% | 156 | $0.00 | |
| 86803 | 0% | 113 | $0.00 | |
| 81001 | 0% | 2,442 | $0.00 | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 255 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 89 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 9,897 | $0.00 |
| 90686 | 0% | 2,332 | $0.00 | |
| 3075F | 0% | 880 | $0.00 | |
| 85027 | 0% | 1,011 | $0.00 | |
| 99383 | 0% | 109 | $0.00 | |
| 82728 | 0% | 180 | $0.00 | |
| 86225 | 0% | 39 | $0.00 | |
| 0031A | 0% | 52 | $0.00 | |
| 90680 | 0% | 58 | $0.00 | |
| 1126F | 0% | 3,381 | $0.00 | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 0% | 687 | $0.00 |
| 86780 | 0% | 41 | $0.00 | |
| 3044F | 0% | 96 | $0.00 | |
| 86141 | 0% | 104 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 64 | $0.00 |
| 87077 | 0% | 206 | $0.00 | |
| 83690 | 0% | 44 | $0.00 | |
| 82962 | 0% | 338 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 137 | $0.00 |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 142 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 74 | $0.00 |
| 76830 | Ultrasound, transvaginal | 0% | 12 | $0.00 |
| 90696 | 0% | 19 | $0.00 | |
| 87430 | 0% | 221 | $0.00 | |
| 90723 | 0% | 66 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 49 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 32 | $0.00 |
| 90732 | 0% | 44 | $0.00 | |
| 82746 | 0% | 65 | $0.00 | |
| 0012A | 0% | 58 | $0.00 | |
| 76536 | 0% | 21 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 17 | $0.00 |
| 90656 | 0% | 92 | $0.00 | |
| T1002 | Rn services, up to 15 minutes | 0% | 37 | $0.00 |
| 85018 | 0% | 13 | $0.00 | |
| 3080F | 0% | 15 | $0.00 | |
| 87510 | 0% | 12 | $0.00 | |
| 99385 | 0% | 47 | $0.00 | |
| 3048F | 0% | 19 | $0.00 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 0% | 25 | $0.00 |
| 87480 | 0% | 12 | $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 officialFOWLER, PAMELA (SYSTEM DIRECTOR OF REIMBURSEMENT)
| Provider | Location | Paid |
|---|---|---|
| Maricopa County Special Health Care District | Phoenix, AZ | $251.46M |
| Maricopa County Special Health Care District | Phoenix, AZ | $19.60M |
| Maricopa County Special Health Care District | Chandler, AZ | $17.70M |
| Maricopa County Special Health Care District | Phoenix, AZ | $15.77M |
| Maricopa County Special Health Care District | Phoenix, AZ | $15.39M |
| Maricopa County Special Health Care District | Peoria, AZ | $9.69M |
| Maricopa County Special Heallth Care District | Mesa, AZ | $24K |
| Maricopa County Special Health Care District | Phoenix, AZ | $15K |
| Maricopa County Special Health Care District | Phoenix, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.