ARZON, MAYRA
NPI: 1114958048
· DECATUR, IL 62526
· Pediatrics Physician
· NPI assigned 07/06/2006
$916K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,155 |
$100K |
| 2019 |
2,584 |
$111K |
| 2020 |
2,515 |
$126K |
| 2021 |
2,657 |
$135K |
| 2022 |
2,845 |
$149K |
| 2023 |
3,180 |
$139K |
| 2024 |
2,582 |
$155K |
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 |
10,807 |
4,480 |
$778K |
| 96127 |
|
4,857 |
1,923 |
$77K |
| 99407 |
|
875 |
396 |
$13K |
| 94617 |
|
221 |
123 |
$12K |
| 94619 |
|
231 |
165 |
$9K |
| 92567 |
|
479 |
332 |
$7K |
| 92551 |
|
440 |
260 |
$6K |
| 99245 |
|
26 |
24 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
284 |
208 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
80 |
$1K |
| 99173 |
|
158 |
102 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$1K |
| 99401 |
|
33 |
28 |
$780.00 |