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Banner-university Medical Group

Clinic/Center, Primary Care·Phoenix, AZ·NPI: 1508809427Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$133.7M

$133,692,691

Total Claims

2.5M

Beneficiaries

2.1M

1.2 claims/patient

Avg Cost/Claim

$54

#850 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Banner-university Medical Group is a Clinic/Center, Primary Care provider based in Phoenix, AZ. From the 2018–2024 period, this provider received $133.7M in Medicaid payments across 2.5M claims.

Why This Matters

This provider received $133.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,711 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 12% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.9M
+22%
2019
$21.9M
-27%
2020
$16.0M
+36%
2021
$21.7M
-12%
2022
$19.1M
+11%
2023
$21.2M
-25%
2024
$15.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 13% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$17.8M

143K claims · 13.3%

Your Cost: $123.97/claim|Median: $85.65
1.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$13.7M

214K claims · 10.3%

Your Cost: $64.26/claim|Median: $53.41
1.2× median
99284Top 25%

Emergency dept visit, high complexity

$10.9M

115K claims · 8.2%

Your Cost: $95.22/claim|Median: $69.51
1.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$8.1M

165K claims · 6.0%

Your Cost: $48.92/claim|Median: $37.81
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$7.1M

107K claims · 5.3%

Your Cost: $66.05/claim|Median: $35.30
1.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$6.0M

132K claims · 4.5%

Your Cost: $45.90/claim|Median: $23.99
1.9× median
99291Top 25%

Critical care, first 30-74 minutes

$5.2M

36K claims · 3.9%

Your Cost: $142.98/claim|Median: $101.24
1.4× median
99283Normal range

Emergency dept visit, moderate complexity

$4.7M

83K claims · 3.5%

Your Cost: $56.56/claim|Median: $42.48
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$3.9M

44K claims · 2.9%

Your Cost: $88.88/claim|Median: $74.09
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$3.1M

41K claims · 2.3%

Your Cost: $74.58/claim|Median: $65.76
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$2.3M

38K claims · 1.7%

Your Cost: $59.62/claim|Median: $54.68
1.1× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2.2M

22K claims · 1.7%

Your Cost: $100.74/claim|Median: $84.03
1.2× median
70450Normal range

CT head/brain without contrast

$1.6M

49K claims · 1.2%

Your Cost: $33.33/claim|Median: $45.53
0.7× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.6M

5K claims · 1.2%

Your Cost: $306.83/claim|Median: $470.36
0.7× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$1.6M

4K claims · 1.2%

Your Cost: $388.29/claim|Median: $293.45
1.3× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.4M

24K claims · 1.1%

Your Cost: $57.72/claim|Median: $35.80
1.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.4M

12K claims · 1.0%

Your Cost: $120.75/claim|Median: $67.32
1.8× median
71045Normal range

Chest X-ray, single view

$1.3M

173K claims · 1.0%

Your Cost: $7.54/claim|Median: $4.93
1.5× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$1.2M

11K claims · 0.9%

Your Cost: $116.72/claim|Median: $98.15
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.2M

14K claims · 0.9%

Your Cost: $89.19/claim|Median: $69.35
1.3× median
70553Normal range

MRI brain without contrast, then with contrast

$1.2M

12K claims · 0.9%

Your Cost: $103.28/claim|Median: $133.68
0.8× median
74183Normal range

$1.2M

13K claims · 0.9%

Your Cost: $95.75/claim|Median: $151.91
0.6× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$1.2M

12K claims · 0.9%

Your Cost: $101.65/claim|Median: $47.08
2.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.2M

18K claims · 0.9%

Your Cost: $66.83/claim|Median: $57.85
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.1M

11K claims · 0.8%

Your Cost: $96.18/claim|Median: $75.18
1.3× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$1.0M

53K claims · 0.8%

Your Cost: $19.13/claim|Median: $9.80
1.9× median
71260Normal range

CT chest with contrast

$980K

20K claims · 0.7%

Your Cost: $48.09/claim|Median: $48.36
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$864K

18K claims · 0.6%

Your Cost: $48.80/claim|Median: $37.22
1.3× median
90472Top 10%

Immunization administration, each additional vaccine

$850K

25K claims · 0.6%

Your Cost: $34.16/claim|Median: $11.79
2.9× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$825K

7K claims · 0.6%

Your Cost: $121.62/claim|Median: $103.70
1.2× median

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