EDLC, LLC
NPI: 1154804243
· SCOTTSDALE, AZ 85255
· Endocrinology, Diabetes & Metabolism Physician
· NPI assigned 09/13/2018
$208K
Total Medicaid Paid
3,259
Beneficiary Records
Provider Details
| Authorized Official | FORD, REGINA (PRACTICE MANAGER) |
| NPI Enumeration Date | 09/13/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
230 |
$4K |
| 2020 |
478 |
$26K |
| 2021 |
649 |
$41K |
| 2022 |
604 |
$37K |
| 2023 |
767 |
$46K |
| 2024 |
805 |
$54K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,185 |
2,956 |
$191K |
| 99215 |
Prolong outpt/office vis |
159 |
138 |
$13K |
| 99205 |
Prolong outpt/office vis |
40 |
39 |
$4K |
| 94760 |
|
137 |
114 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |