NPI: 1144692872 · PHOENIX, AZ 85016 · 174H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 881 | $620.00 |
| 2019 | 295 | $29K |
| 2020 | 267 | $30K |
| 2021 | 170 | $28K |
| 2022 | 79 | $12K |
| 2023 | 784 | $219K |
| 2024 | 960 | $209K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G9001 | Mccd, initial rate | 1,175 | 1,120 | $338K |
| G9873 | 1 em core session | 628 | 628 | $103K |
| G9003 | Mccd, risk adj hi, initial | 221 | 220 | $35K |
| G9874 | 4 em core sessions | 198 | 198 | $29K |
| G9005 | Mccd, risk adj, maintenance | 45 | 44 | $14K |
| G9875 | 9 em core sessions | 48 | 48 | $5K |
| 0403T | 1,075 | 907 | $3K | |
| G9002 | Mccd,maintenance rate | 46 | 46 | $3K |