NPI: 1053587261 · FLAGSTAFF, AZ 86004 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,635 | $1.15M |
| 2019 | 8,033 | $835K |
| 2020 | 19,912 | $2.78M |
| 2021 | 23,122 | $3.16M |
| 2022 | 19,046 | $2.43M |
| 2023 | 18,819 | $2.71M |
| 2024 | 9,670 | $2.02M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 59,403 | 51,987 | $15.08M |
| 99239 | 40 | 40 | $3K | |
| 59025 | 132 | 91 | $3K | |
| 99238 | 27 | 27 | $1K | |
| 99460 | 12 | 12 | $852.47 | |
| 99214 | 2,555 | 2,283 | $525.12 | |
| 99462 | 14 | 12 | $416.78 | |
| 99213 | 11,764 | 10,371 | $194.69 | |
| 90832 | 361 | 294 | $145.74 | |
| 99202 | 29 | 29 | $136.50 | |
| D0120 | 529 | 520 | $0.00 | |
| D0150 | 964 | 937 | $0.00 | |
| D7140 | 2,055 | 1,308 | $0.00 | |
| D1206 | 4,084 | 4,038 | $0.00 | |
| D0140 | 3,165 | 3,042 | $0.00 | |
| D1330 | 648 | 643 | $0.00 | |
| D0603 | 2,066 | 2,042 | $0.00 | |
| 90834 | 65 | 54 | $0.00 | |
| 99000 | 110 | 104 | $0.00 | |
| 1111F | 1,380 | 1,278 | $0.00 | |
| D0230 | 1,288 | 975 | $0.00 | |
| 3008F | 330 | 294 | $0.00 | |
| 90471 | 162 | 126 | $0.00 | |
| NOMIN | Inj roctavian ml 2x10^13vc g | 36 | 30 | $0.00 |
| D0602 | 259 | 256 | $0.00 | |
| D0210 | 108 | 105 | $0.00 | |
| D2392 | 413 | 299 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 16 | 14 | $0.00 |
| 91306 | 12 | 12 | $0.00 | |
| D1351 | 81 | 24 | $0.00 | |
| 91301 | 30 | 14 | $0.00 | |
| 96372 | 31 | 28 | $0.00 | |
| 90686 | 93 | 81 | $0.00 | |
| D0272 | 14 | 14 | $0.00 | |
| D0601 | 13 | 12 | $0.00 | |
| D9995 | 12 | 12 | $0.00 | |
| 0011A | 16 | 14 | $0.00 | |
| 3074F | 15 | 12 | $0.00 | |
| D0220 | 4,262 | 4,059 | $0.00 | |
| D1120 | 755 | 751 | $0.00 | |
| 1160F | 1,970 | 1,823 | $0.00 | |
| D2391 | 111 | 82 | $0.00 | |
| D0190 | 2,502 | 2,486 | $0.00 | |
| 99442 | 54 | 51 | $0.00 | |
| D0274 | 405 | 400 | $0.00 | |
| D1354 | 433 | 123 | $0.00 | |
| D0270 | 83 | 82 | $0.00 | |
| D1110 | 694 | 678 | $0.00 | |
| 1159F | 1,819 | 1,685 | $0.00 | |
| 99212 | 141 | 126 | $0.00 | |
| D0330 | 517 | 512 | $0.00 | |
| 96158 | 479 | 362 | $0.00 | |
| 96159 | 276 | 213 | $0.00 | |
| D9230 | 70 | 63 | $0.00 | |
| D9993 | 286 | 284 | $0.00 | |
| 87811 | 34 | 19 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 14 | 13 | $0.00 |