Clinic
Ponderosa Family Care, LLC
Ponderosa Family Care, LLC was paid $2.13M by Medicaid between Oct 2021 and Dec 2024, across 13 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 infoPONDEROSA FAMILY CARE, LLC
PAYSON, AZ 85541
PAYSON, AZ 85541
33aNPI1992321723assigned 06/17/2020
33bProvider typeRural Health Clinic/Center
28Total paid$2.13M
24GClaims16,463
24DCodes billed13
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Arizona
Rank by total paid#10 of 34
Median peer was paid$666K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2021 | 266 | $48K | |
| 2022 | 3,544 | $445K | |
| 2023 | 5,753 | $758K | |
| 2024incomplete | 6,900 | $879K |
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% | 10,185 | 7,435 | $2.13M |
| 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% | 3,958 | 3,019 | $1K |
| 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% | 1,152 | 974 | $209.38 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 100 | 66 | $107.44 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 89 | 71 | $61.60 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 37 | 30 | $55.41 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 298 | 268 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 50 | 48 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 43 | 27 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 90 | 69 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 337 | 268 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 50 | 41 | $0.00 |
1 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 74 | $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 officialMICHELS, ALAN (PHYSICIAN/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ponderosa Family Care, LLC | Payson, AZ | $494K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.