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Adelante Healthcare, Inc.

Family Medicine·Phoenix, AZ·NPI: 1528126133Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $245.9M is at the 90th percentile among 19 Family Medicine providers.

Above 90th percentile for this specialty — higher spending than 17 of 19 peers

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

Total Paid

$245.9M

$245,882,155

Total Claims

2.3M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$108

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

🔍 Analysis

Provider Overview

Adelante Healthcare, Inc. is a Family Medicine provider based in Phoenix, AZ. From the 2018–2024 period, this provider received $245.9M in Medicaid payments across 2.3M claims.

Why This Matters

This provider received $245.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 30,735 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 70% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$26.0M
+12%
2019
$29.2M
+1%
2020
$29.5M
+21%
2021
$35.6M
+7%
2022
$38.1M
+13%
2023
$43.2M
+2%
2024
$44.3M

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 100% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$244.8M

902K claims · 99.6%

Your Cost: $271.33/claim|Median: $121.16
2.2× median
T1016Normal range

Case management, each 15 min

$780K

33K claims · 0.3%

Your Cost: $23.59/claim|Median: $49.62
0.5× median
59409Normal range

Vaginal delivery only

$158K

197 claims · 0.1%

Your Cost: $804.12/claim|Median: $619.91
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$28K

466 claims · 0.0%

Your Cost: $60.26/claim|Median: $37.22
1.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$27K

475 claims · 0.0%

Your Cost: $56.61/claim|Median: $62.48
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$17K

2K claims · 0.0%

Your Cost: $7.68/claim|Median: $55.04
0.1× median
99214Normal range

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

$14K

200K claims · 0.0%

Your Cost: $0.07/claim|Median: $53.41
0.0× median
99213Normal range

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

$12K

293K claims · 0.0%

Your Cost: $0.04/claim|Median: $37.81
0.0× median
59025Normal range

Fetal non-stress test

$5K

1K claims · 0.0%

Your Cost: $3.86/claim|Median: $26.45
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4K

25K claims · 0.0%

Your Cost: $0.18/claim|Median: $69.35
0.0× median
99203Normal range

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

$3K

13K claims · 0.0%

Your Cost: $0.25/claim|Median: $57.85
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2K

63K claims · 0.0%

Your Cost: $0.04/claim|Median: $17.85
0.0× median
99463Normal range

$2K

32 claims · 0.0%

Your Cost: $75.09/claim|Median: $78.46
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2K

20K claims · 0.0%

Your Cost: $0.12/claim|Median: $75.18
0.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$1K

6K claims · 0.0%

Your Cost: $0.25/claim|Median: $73.46
0.0× median
99204Normal range

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

$1K

8K claims · 0.0%

Your Cost: $0.17/claim|Median: $84.03
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$1K

2K claims · 0.0%

Your Cost: $0.66/claim|Median: $33.85
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1K

20K claims · 0.0%

Your Cost: $0.06/claim|Median: $74.82
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$960

6K claims · 0.0%

Your Cost: $0.16/claim|Median: $76.06
0.0× median
90471Normal range

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

$955

24K claims · 0.0%

Your Cost: $0.04/claim|Median: $9.80
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$893

12K claims · 0.0%

Your Cost: $0.07/claim|Median: $72.71
0.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$884

458 claims · 0.0%

Your Cost: $1.93/claim|Median: $74.78
0.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$804

603 claims · 0.0%

Your Cost: $1.33/claim|Median: $58.55
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$469

23K claims · 0.0%

Your Cost: $0.02/claim|Median: $6.61
0.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$456

3K claims · 0.0%

Your Cost: $0.17/claim|Median: $41.92
0.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$445

916 claims · 0.0%

Your Cost: $0.49/claim|Median: $58.16
0.0× median
76830Normal range

Ultrasound, transvaginal

$425

355 claims · 0.0%

Your Cost: $1.20/claim|Median: $57.47
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$400

2K claims · 0.0%

Your Cost: $0.20/claim|Median: $25.93
0.0× median
99462Normal range

$383

13 claims · 0.0%

Your Cost: $29.44/claim|Median: $27.49
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$357

14K claims · 0.0%

Your Cost: $0.03/claim|Median: $99.21
0.0× median

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