VITALITY CARE CENTER PLLC
NPI: 1114575578
· PRESCOTT, AZ 86301
· Family Medicine Physician
· NPI assigned 08/29/2019
$139K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
613 |
$41K |
| 2021 |
1,306 |
$96K |
| 2022 |
37 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,615 |
1,248 |
$110K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
256 |
250 |
$26K |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
29 |
$2K |
| 94760 |
|
34 |
20 |
$3.56 |