COBRE VALLEY REGIONAL MEDICAL CENTER
NPI: 1144799677
· TONTO BASIN, AZ 85553
· Family Medicine Physician
· NPI assigned 11/14/2018
$159K
Total Medicaid Paid
Provider Details
| Authorized Official | JENSEN, NEAL (CEO) |
| Parent Organization | COBRE VALLEY REGIONAL MEDICAL CENTER |
| NPI Enumeration Date | 11/14/2018 |
Related Entities
Other providers sharing the same authorized official: JENSEN, NEAL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
49 |
$13K |
| 2021 |
58 |
$13K |
| 2022 |
65 |
$11K |
| 2023 |
202 |
$62K |
| 2024 |
173 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
482 |
416 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
58 |
$0.00 |