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

District Medical Group, INC

Anesthesiology·Phoenix, AZ·NPI: 1295968162Share

Compared to Anesthesiology Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $130.6M is at the 50th percentile among 13 Anesthesiology providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$130.6M

$130,604,294

Total Claims

1.8M

Beneficiaries

1.5M

1.2 claims/patient

Avg Cost/Claim

$73

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

🔍 Analysis

Provider Overview

District Medical Group, INC is a Anesthesiology provider based in Phoenix, AZ. From the 2018–2024 period, this provider received $130.6M in Medicaid payments across 1.8M claims.

Why This Matters

This provider received $130.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,325 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 12% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.3M
+25%
2019
$22.8M
-25%
2020
$17.2M
+8%
2021
$18.6M
-3%
2022
$17.9M
+10%
2023
$19.8M
-19%
2024
$16.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 39% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$50.8M

192K claims · 38.9%

Your Cost: $264.72/claim|Median: $121.16
2.2× median
99284Normal range

Emergency dept visit, high complexity

$10.7M

116K claims · 8.2%

Your Cost: $92.12/claim|Median: $69.51
1.3× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$7.2M

136K claims · 5.5%

Your Cost: $52.80/claim|Median: $23.99
2.2× median
99283Normal range

Emergency dept visit, moderate complexity

$5.6M

99K claims · 4.3%

Your Cost: $56.29/claim|Median: $42.48
1.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.1M

39K claims · 3.9%

Your Cost: $128.59/claim|Median: $85.65
1.5× median
99214Normal range

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

$4.7M

69K claims · 3.6%

Your Cost: $67.85/claim|Median: $53.41
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$4.2M

59K claims · 3.2%

Your Cost: $70.42/claim|Median: $35.30
2.0× median
99213Normal range

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

$3.6M

80K claims · 2.8%

Your Cost: $45.44/claim|Median: $37.81
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$3.0M

38K claims · 2.3%

Your Cost: $77.89/claim|Median: $65.76
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$2.0M

33K claims · 1.5%

Your Cost: $59.52/claim|Median: $37.22
1.6× median
59409Top 25%

Vaginal delivery only

$1.9M

2K claims · 1.4%

Your Cost: $926.10/claim|Median: $619.91
1.5× median
99291Top 25%

Critical care, first 30-74 minutes

$1.5M

9K claims · 1.1%

Your Cost: $164.09/claim|Median: $101.24
1.6× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.2M

19K claims · 0.9%

Your Cost: $64.69/claim|Median: $35.80
1.8× median
70450Normal range

CT head/brain without contrast

$1.2M

34K claims · 0.9%

Your Cost: $34.77/claim|Median: $45.53
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.2M

157K claims · 0.9%

Your Cost: $7.41/claim|Median: $5.60
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$1.1M

9K claims · 0.8%

Your Cost: $118.28/claim|Median: $74.09
1.6× median
92507Normal range

Speech/hearing/language treatment

$937K

22K claims · 0.7%

Your Cost: $42.16/claim|Median: $49.45
0.8× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$903K

3K claims · 0.7%

Your Cost: $318.91/claim|Median: $283.78
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$859K

15K claims · 0.7%

Your Cost: $56.90/claim|Median: $54.68
1.0× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$848K

29K claims · 0.6%

Your Cost: $29.33/claim|Median: $16.77
1.8× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$826K

8K claims · 0.6%

Your Cost: $108.07/claim|Median: $51.25
2.1× median
99282Normal range

Emergency dept visit, low complexity

$749K

20K claims · 0.6%

Your Cost: $37.45/claim|Median: $37.72
1.0× median
99223Top 10%

Initial hospital care, per day, high complexity

$724K

5K claims · 0.6%

Your Cost: $139.73/claim|Median: $67.32
2.1× median
90837Top 25%

Psychotherapy, 60 minutes

$694K

7K claims · 0.5%

Your Cost: $103.44/claim|Median: $85.66
1.2× median
99203Normal range

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

$638K

12K claims · 0.5%

Your Cost: $53.72/claim|Median: $57.85
0.9× median
71045Normal range

Chest X-ray, single view

$635K

83K claims · 0.5%

Your Cost: $7.69/claim|Median: $4.93
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$608K

9K claims · 0.5%

Your Cost: $71.15/claim|Median: $63.65
1.1× median
99204Normal range

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

$608K

7K claims · 0.5%

Your Cost: $92.78/claim|Median: $84.03
1.1× median
93976Normal range

$584K

16K claims · 0.4%

Your Cost: $36.22/claim|Median: $42.06
0.9× median
71046Normal range

Chest X-ray, 2 views

$570K

61K claims · 0.4%

Your Cost: $9.27/claim|Median: $8.92
1.0× median

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

Similar Providers

Other top providers in Anesthesiology

Montefiore Medical Center

Bronx, NY

$398.4M

University Physicians Incorporated

Aurora, CO

$190.7M

New York University

Boynton Beach, FL

$162.2M

West Virginia University Medical Corporation

Morgantown, WV

$162.0M

Permanente Medical Group INC

Stockton, CA

$125.9M

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