PONDEROSA HEART HOUSE CALL
NPI: 1073131561
· GILBERT, AZ 85295
· 207RC0000X
$399K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
740 |
$16K |
| 2022 |
3,519 |
$76K |
| 2023 |
6,014 |
$123K |
| 2024 |
5,705 |
$184K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99424 |
|
7,885 |
7,812 |
$153K |
| 99350 |
Prolong home eval add 15m |
3,015 |
2,945 |
$94K |
| 93306 |
|
1,025 |
1,005 |
$49K |
| 93925 |
|
464 |
454 |
$25K |
| 99337 |
|
789 |
764 |
$20K |
| 93970 |
|
413 |
406 |
$17K |
| 99345 |
Prolong home eval add 15m |
382 |
379 |
$16K |
| 93880 |
|
233 |
228 |
$11K |
| 99328 |
|
121 |
120 |
$5K |
| 93000 |
|
1,272 |
1,236 |
$5K |
| G2064 |
Md mang high risk dx 30 |
323 |
322 |
$3K |
| 99336 |
|
13 |
13 |
$429.38 |
| 99349 |
|
14 |
14 |
$337.98 |
| 99406 |
|
29 |
28 |
$0.00 |