Active NPI 1023093754 Individual Practitioner Female Practitioner

Samadhy Ruiz , PA-C

Physician Assistant • Glendale, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Samadhy Ruiz, PA-C is a certified Physician Assistant practicing in Glendale, AZ. With approximately 22 years of clinical experience since completing medical education in 2004, Samadhy Ruiz delivers high-quality medical care to the local community at 5750 W. THUNDERBIRD AVE.

Samadhy Ruiz is affiliated with Banner Cancer Center Specialists Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include partial removal of breast, new patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5750 W. Thunderbird Ave
Suite B- 200

Glendale, AZ 853064660

Telephone 6023751700

Fax 6028432847

Associated Practice Facility / Clinic

🏢 Canyon State Urology, Pc Facility NPI 1053455238

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glendale, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +12.6 yrs vs City Avg

City Avg: 9.4 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

170 Specialists

Practicing in Glendale, AZ (3711 Statewide)

Telehealth Adoption Rate

14.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ruiz (22 Years) 22 Yrs

Glendale Specialty Average (9.4 Years) 9.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
19301 Partial removal of breast	14	14	$430.00	$83.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$109.00	$87.95
G0008 Administration of influenza virus vaccine	21	21	$21.00	$16.25
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$89.00	$62.38
81002 Urinalysis, manual test	12	12	$15.00	$3.41
90662 Influenza vaccine split virus, preservative free	11	11	$48.99	$48.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	54	54	$21.00	$19.99
90662 Influenza vaccine split virus, preservative free	50	50	$48.99	$48.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$109.00	$89.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$204.56	$89.75
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$89.00	$60.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	43	$324.00	$83.27
29580 Strapping, unna boot	37	17	$159.00	$56.04
11042 Removal of skin and tissue, 20.0 sq cm or less	21	11	$353.00	$94.14
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$218.00	$58.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$622.00	$172.75

Medical Specialties & State Licenses

CMS Verified: 2020-09-22

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 3183

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

959497 (AZ)

Commercial Insurance / Payer ID Healthnet

2Z2614 (AZ)

Commercial Insurance / Payer ID Pacificare

F05992 (AZ)

Hospital & Practice Group Affiliations

Banner Cancer Center Specialists Llc

10401 W Thunderbird Blvd, Sun City, AZ 853513004

Phone: 6238324000

Banner Cancer Center Specialists Llc

1900 N Higley Rd, Gilbert, AZ 852341604

Phone: 4805432000

Banner Cancer Center Specialists Llc

2946 E Banner Gateway Dr, Gilbert, AZ 852342165

Phone: 4802566444

Banner Cancer Center Specialists Llc

2946 E Banner Gateway Dr, Gilbert, AZ 852342165

Phone: 4802566444

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Sarah Ontiveros , AGNP-C

Nurse Practitioner - Primary Care

NPI 1043695018

Adult-Gerontology Nurse Practitioner (Certified)

Mark Mitchell , PA-C

Physician Assistant

NPI 1083694061

Physician Assistant (Certified)

Dr. Paul Block , MD

Urology

NPI 1225038458

Doctor of Medicine (M.D.)

Sho Grant

Physician Assistant

NPI 1245785732

Paola Mendoza , PA

Physician Assistant

NPI 1285252056

Physician Assistant

Dr. Tracy Cumberland , PA-C, PhD

Physician Assistant

NPI 1538205851

Physician Assistant (Certified), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address September 22, 2020

Registered at 128 INTERIOR CALLE BUENA VISTA, MAYAGUEZ, PR 00680 (Tel: 7872095455)

👤

Provider Name / Credentials Updated September 22, 2020

Recorded as SAMADHY RUIZ, PA-C

✅

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2016

Registered at 5750 W. THUNDERBIRD AVE, SUITE B- 200, GLENDALE, AZ 853064660 (Tel: 6023751700)

📍

Updated Business Mailing Address December 08, 2016

Registered at 18700 N 64TH DR, STE 208, GLENDALE, AZ 853087112 (Tel: 6234768657)

👤

Provider Name / Credentials Updated December 08, 2016

Recorded as SAMADHY RUIZ, PA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Physician Assistant (License #3183 in AZ)

🟢

Initial NPI Registration & Enumeration December 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023093754

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 15, 2005

Last Update: September 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

128 Interior Calle Buena Vista

Mayaguez, PR 00680

Phone: 7872095455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.