BANNER HEALTH
NPI: 1073223012
· PAYSON, AZ 85541
· Rural Health Clinic/Center
· NPI assigned 11/30/2022
$352K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
95 |
$15K |
| 2024 |
1,991 |
$337K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,269 |
1,114 |
$351K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
386 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
229 |
$23.76 |
| 1111F |
|
38 |
37 |
$0.00 |
| 3074F |
|
27 |
27 |
$0.00 |
| 3078F |
|
20 |
20 |
$0.00 |