NPI: 1063893121 · PAYSON, AZ 85541 · General Acute Care Hospital · NPI assigned 06/15/2015
Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more
| Authorized Official | LARAWAY, DENNIS (CFO) |
| Parent Organization | BANNER HEALTH |
| NPI Enumeration Date | 06/15/2015 |
Other providers sharing the same authorized official: LARAWAY, DENNIS
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30,003 | $1.43M |
| 2019 | 61 | $18K |
| 2022 | 522 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | Emergency department visit for the evaluation and management, high severity | 1,432 | 1,245 | $384K |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1,040 | 846 | $343K |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 1,032 | 945 | $223K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 248 | 225 | $122K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 174 | 154 | $109K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 701 | 647 | $90K |
| 96361 | Intravenous infusion, hydration; each additional hour | 857 | 702 | $51K |
| 70450 | Computed tomography, head or brain; without contrast material | 376 | 313 | $35K |
| 72125 | Computed tomography, cervical spine; without contrast material | 93 | 74 | $25K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 123 | 106 | $12K |
| 71046 | Radiologic examination, chest; 2 views | 586 | 531 | $11K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 13 | 12 | $10K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 88 | 85 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 510 | 408 | $9K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 58 | 56 | $6K |
| 80053 | Comprehensive metabolic panel | 2,071 | 1,618 | $5K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 349 | 254 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18 | 12 | $4K |
| G0378 | Hospital observation service, per hour | 305 | 138 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | 631 | 510 | $3K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 430 | 338 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 39 | 36 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 424 | 364 | $2K |
| 74018 | 100 | 93 | $2K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 191 | 124 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 64 | 59 | $2K |
| 73562 | 58 | 58 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 984 | 746 | $2K |
| 73030 | 67 | 63 | $1K | |
| 76801 | 17 | 12 | $933.93 | |
| 76830 | Ultrasound, transvaginal | 65 | 61 | $676.76 |
| 87077 | 144 | 107 | $629.70 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 872 | 736 | $614.18 |
| 73630 | 34 | 31 | $522.73 | |
| 73130 | 28 | 26 | $367.60 | |
| 81001 | 822 | 676 | $352.30 | |
| 71045 | Radiologic examination, chest; single view | 574 | 489 | $331.73 |
| 81025 | 342 | 305 | $278.08 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2,132 | 1,672 | $277.51 |
| 84702 | 34 | 28 | $238.82 | |
| 73610 | 31 | 28 | $204.28 | |
| 59025 | Fetal non-stress test | 67 | 39 | $196.88 |
| 80048 | Basic metabolic panel (calcium, ionized) | 245 | 180 | $171.41 |
| 86850 | 24 | 19 | $169.93 | |
| 83690 | 529 | 445 | $164.43 | |
| 83605 | 374 | 264 | $161.00 | |
| 83880 | 129 | 90 | $105.25 | |
| 36415 | Collection of venous blood by venipuncture | 240 | 187 | $55.69 |
| 96376 | 159 | 108 | $50.40 | |
| 84443 | Thyroid stimulating hormone (TSH) | 78 | 66 | $38.26 |
| 85027 | 209 | 160 | $30.69 | |
| 85730 | 168 | 142 | $22.14 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 468 | 390 | $20.92 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 320 | 203 | $18.30 |
| 83735 | 361 | 258 | $17.75 | |
| 87088 | 328 | 266 | $13.05 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 708 | 584 | $9.98 |
| J7030 | Infusion, normal saline solution , 1000 cc | 291 | 229 | $7.20 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 177 | 148 | $7.08 |
| 87186 | 108 | 90 | $6.06 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 323 | 259 | $0.76 |
| J2550 | Injection, promethazine hcl, up to 50 mg | 30 | 25 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 135 | 103 | $0.00 |
| 81003 | 413 | 354 | $0.00 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 316 | 281 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 57 | 43 | $0.00 |
| 85610 | 330 | 275 | $0.00 | |
| 82947 | 386 | 205 | $0.00 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 123 | 109 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 102 | 84 | $0.00 |
| 86900 | 40 | 32 | $0.00 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 68 | 33 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 14 | 12 | $0.00 |
| 90715 | 30 | 28 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 508 | 240 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 58 | 52 | $0.00 |
| C9113 | Injection, pantoprazole sodium, per vial | 14 | 12 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 333 | 293 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 51 | 43 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 195 | 174 | $0.00 |
| 84484 | 752 | 497 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 593 | 503 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 142 | 125 | $0.00 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 13 | 13 | $0.00 |
| 80320 | 325 | 286 | $0.00 | |
| J8597 | Antiemetic drug, oral, not otherwise specified | 203 | 170 | $0.00 |
| A9270 | Non-covered item or service | 1,150 | 233 | $0.00 |
| 84703 | 68 | 64 | $0.00 | |
| 87807 | 47 | 47 | $0.00 | |
| 87040 | 215 | 96 | $0.00 | |
| 87081 | 74 | 70 | $0.00 | |
| J2060 | Injection, lorazepam, 2 mg | 42 | 37 | $0.00 |
| 80329 | 135 | 127 | $0.00 | |
| 86901 | 41 | 32 | $0.00 | |
| J3490 | Unclassified drugs | 71 | 31 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 30 | 28 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 19 | 17 | $0.00 |