Physician
Forty-Third Medical Associates, PC
Forty-Third Medical Associates, PC was paid $3.19M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoFORTY-THIRD MEDICAL ASSOCIATES, PC
PHOENIX, AZ 85051
PHOENIX, AZ 85051
33aNPI1982750600assigned 01/26/2007
33bProvider typeFamily Medicine Physician
28Total paid$3.19M
24GClaims133,535
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#37 of 442
Median peer was paid$77K
This provider vs. median41×
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 | 21,990 | $494K | |
| 2019 | 25,091 | $490K | |
| 2020 | 23,301 | $422K | |
| 2021 | 24,585 | $483K | |
| 2022 | 17,823 | $474K | |
| 2023 | 11,029 | $462K | |
| 2024incomplete | 9,716 | $368K |
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 | 47% | 37,006 | 31,697 | $1.49M |
| 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 | 24% | 13,901 | 12,831 | $766K |
| 99401 | 6.7% | 8,662 | 7,365 | $215K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.1% | 2,178 | 2,073 | $163K |
| 99493 | 3.0% | 1,954 | 1,701 | $96K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 1,007 | 975 | $90K |
| 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 | 1.7% | 576 | 549 | $56K |
| 99492 | 1.7% | 761 | 667 | $54K | |
| 96160 | 1.2% | 12,400 | 10,358 | $38K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 286 | 265 | $24K |
| 99497 | <1% | 1,484 | 1,427 | $24K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,107 | 1,044 | $22K |
78 more codes
| 93000 | <1% | 2,864 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 302 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,726 | $19K |
| 90688 | <1% | 2,143 | $16K | |
| 97803 | <1% | 371 | $15K | |
| 99397 | <1% | 758 | $14K | |
| 99441 | <1% | 507 | $9K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 3,618 | $4K |
| 99442 | <1% | 177 | $4K | |
| 97802 | <1% | 87 | $3K | |
| 94760 | <1% | 4,365 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 105 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | $2K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 110 | $2K |
| 81002 | <1% | 1,041 | $2K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,240 | $2K |
| 94010 | <1% | 147 | $1K | |
| 90658 | <1% | 47 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,222 | $1K |
| 99494 | <1% | 42 | $967.42 | |
| 0012A | <1% | 34 | $840.00 | |
| 99421 | <1% | 70 | $839.73 | |
| 99000 | <1% | 1,898 | $827.64 | |
| 96127 | <1% | 4,153 | $695.02 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 408 | $650.37 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 110 | $624.31 |
| 0011A | <1% | 25 | $525.00 | |
| 92250 | <1% | 12 | $408.25 | |
| 80305 | <1% | 140 | $368.60 | |
| 99402 | <1% | 18 | $304.79 | |
| 99422 | <1% | 16 | $302.77 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 144 | $195.69 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14 | $183.30 |
| G0008 | Administration of influenza virus vaccine | <1% | 800 | $176.04 |
| 90656 | <1% | 68 | $165.82 | |
| 99173 | <1% | 107 | $149.39 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $125.16 |
| 81025 | <1% | 19 | $103.18 | |
| 82962 | <1% | 20 | $21.46 | |
| 99406 | <1% | 86 | $11.24 | |
| 81000 | <1% | 16 | $3.86 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 294 | $2.93 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 59 | $2.72 |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 155 | $1.57 |
| 91301 | <1% | 16 | $0.01 | |
| 1111F | 0% | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,753 | $0.00 |
| 3079F | 0% | 1,390 | $0.00 | |
| 4210F | 0% | 161 | $0.00 | |
| 4008F | 0% | 85 | $0.00 | |
| 3080F | 0% | 299 | $0.00 | |
| 1036F | 0% | 579 | $0.00 | |
| 3074F | 0% | 1,757 | $0.00 | |
| 3075F | 0% | 911 | $0.00 | |
| 1125F | 0% | 358 | $0.00 | |
| 1126F | 0% | 131 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 681 | $0.00 |
| 1101F | 0% | 450 | $0.00 | |
| 1170F | 0% | 594 | $0.00 | |
| 3017F | 0% | 198 | $0.00 | |
| 3014F | 0% | 20 | $0.00 | |
| 3044F | 0% | 149 | $0.00 | |
| 4086F | 0% | 101 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 35 | $0.00 |
| 4010F | 0% | 47 | $0.00 | |
| 3077F | 0% | 515 | $0.00 | |
| 3078F | 0% | 1,450 | $0.00 | |
| 1159F | 0% | 3,276 | $0.00 | |
| 1158F | 0% | 562 | $0.00 | |
| 1160F | 0% | 3,292 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 50 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,850 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 61 | $0.00 |
| 4274F | 0% | 607 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 653 | $0.00 |
| 1100F | 0% | 162 | $0.00 | |
| 4040F | 0% | 112 | $0.00 | |
| 4013F | 0% | 311 | $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 officialBEACH, JAMES (OWNER)