Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Nextcare Arizona LLC

Clinic/Center, Urgent Care·Tempe, AZ·NPI: 1043371826Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$161.3M

$161,278,500

Total Claims

1.7M

Beneficiaries

1.6M

1.0 claims/patient

Avg Cost/Claim

$96

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

🔍 Analysis

Provider Overview

Nextcare Arizona LLC is a Clinic/Center, Urgent Care provider based in Tempe, AZ. From the 2018–2024 period, this provider received $161.3M in Medicaid payments across 1.7M claims.

Why This Matters

This provider received $161.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,159 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 5% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$21.5M
+2%
2019
$21.9M
-15%
2020
$18.7M
+23%
2021
$22.9M
+19%
2022
$27.2M
-2%
2023
$26.6M
-15%
2024
$22.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 44% of total spending.

99214Top 25%

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

$70.6M

716K claims · 43.8%

Your Cost: $98.62/claim|Median: $53.41
1.9× median
99213Top 5%

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

$45.7M

435K claims · 28.3%

Your Cost: $104.92/claim|Median: $37.81
2.8× median
99203Top 10%

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

$29.7M

294K claims · 18.4%

Your Cost: $100.83/claim|Median: $57.85
1.7× median
99204Normal range

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

$14.6M

142K claims · 9.1%

Your Cost: $102.91/claim|Median: $84.03
1.2× median
99212Top 5%

Office/outpatient visit, low complexity

$315K

3K claims · 0.2%

Your Cost: $102.71/claim|Median: $25.06
4.1× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$253K

3K claims · 0.2%

Your Cost: $98.42/claim|Median: $40.11
2.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$39K

22K claims · 0.0%

Your Cost: $1.78/claim|Median: $30.04
0.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$21K

18K claims · 0.0%

Your Cost: $1.14/claim|Median: $34.62
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$17K

167 claims · 0.0%

Your Cost: $101.66/claim|Median: $74.09
1.4× median
99211Top 5%

Office/outpatient visit, minimal complexity

$8K

79 claims · 0.0%

Your Cost: $103.30/claim|Median: $12.93
8.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$8K

80 claims · 0.0%

Your Cost: $98.05/claim|Median: $111.09
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$4K

6K claims · 0.0%

Your Cost: $0.74/claim|Median: $11.48
0.1× median
87804Normal range

Influenza virus detection, rapid test

$3K

4K claims · 0.0%

Your Cost: $0.59/claim|Median: $12.59
0.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$1K

51 claims · 0.0%

Your Cost: $22.86/claim|Median: $30.53
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$852

1K claims · 0.0%

Your Cost: $0.60/claim|Median: $9.56
0.1× median
99000Normal range

$696

29K claims · 0.0%

Your Cost: $0.02/claim|Median: $2.30
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$396

3K claims · 0.0%

Your Cost: $0.11/claim|Median: $39.70
0.0× median
71046Normal range

Chest X-ray, 2 views

$247

91 claims · 0.0%

Your Cost: $2.71/claim|Median: $8.92
0.3× median
81003Normal range

Urinalysis, automated without microscopy

$227

2K claims · 0.0%

Your Cost: $0.10/claim|Median: $1.48
0.1× median
J7510Normal range

Prednisolone oral, per five milligrams

$104

60 claims · 0.0%

Your Cost: $1.74/claim|Median: $0.45
3.9× median
81025Normal range

Urine pregnancy test

$16

103 claims · 0.0%

Your Cost: $0.15/claim|Median: $4.81
0.0× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$15

171 claims · 0.0%

Your Cost: $0.09/claim|Median: $0.91
0.1× median
J1100Normal range

$13

56 claims · 0.0%

Your Cost: $0.23/claim|Median: $0.52
0.4× median
36415Normal range

Collection of venous blood by venipuncture

$3

56 claims · 0.0%

Your Cost: $0.05/claim|Median: $1.57
0.0× median
J0696Normal range

$2

108 claims · 0.0%

Your Cost: $0.02/claim|Median: $1.34
0.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.88
S0119Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.40
73610Normal range

X-ray of ankle, complete, minimum three views

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.55
73110Normal range

X-ray of wrist, complete, minimum three views

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.64
73630Normal range

X-ray, foot, complete, minimum 3 views

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.06

Other Top Providers in Arizona

View all →

Acumen Fiscal Agent LLC

Community/Behavioral Health

$1.06B

Arion Care Solutions LLC

In Home Supportive Care

$606.7M

Phoenix Children's Hospital

General Acute Care Hospital Children

$555.7M

National Mentor Healthcare

Day Training, Developmentally Disabled Services

$459.7M

El Rio Santa Cruz Neighborhood Health Center, INC

Clinic/Center, Federally Qualified Health Center (

$360.3M

← All providersAll providers in Arizona →How we detect fraud →