NPI: 1043848294 · GILBERT, AZ 85297 · 261QE0002X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,665 | $208K |
| 2023 | 6,720 | $437K |
| 2024 | 5,992 | $332K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 3,058 | 2,893 | $507K | |
| 99284 | 1,586 | 1,518 | $326K | |
| 99285 | 193 | 188 | $58K | |
| 99282 | 612 | 589 | $55K | |
| 74176 | 27 | 26 | $13K | |
| 74177 | 14 | 14 | $10K | |
| 70450 | 42 | 40 | $8K | |
| 96375 | 353 | 336 | $1K | |
| 96374 | 659 | 628 | $49.32 | |
| 80053 | 1,059 | 992 | $28.38 | |
| 71046 | 265 | 253 | $27.48 | |
| 96372 | 359 | 341 | $23.77 | |
| 71045 | 281 | 273 | $17.67 | |
| 85025 | 1,070 | 1,021 | $16.56 | |
| 81003 | 696 | 674 | $6.00 | |
| J2405 | Ondansetron hcl injection | 339 | 319 | $4.50 |
| J1885 | Ketorolac tromethamine inj | 657 | 628 | $0.70 |
| 93005 | 238 | 231 | $0.00 | |
| 87502 | 129 | 125 | $0.00 | |
| J7030 | Normal saline solution infus | 631 | 589 | $0.00 |
| 73630 | 13 | 13 | $0.00 | |
| 81025 | 523 | 507 | $0.00 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 97 | 96 | $0.00 |
| 87631 | 221 | 217 | $0.00 | |
| U0003 | Cov-19 amp prb hgh thruput | 134 | 128 | $0.00 |
| J3490 | Drugs unclassified injection | 217 | 208 | $0.00 |
| 87635 | 67 | 66 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 266 | 256 | $0.00 |
| 87651 | 288 | 283 | $0.00 | |
| 36415 | 1,192 | 1,138 | $0.00 | |
| 82553 | 32 | 30 | $0.00 | |
| 84484 | 45 | 43 | $0.00 | |
| 96361 | 14 | 13 | $0.00 |