LAKE HAVASU PRIMARY CARE PLLC
NPI: 1194116186
· LAKE HAVASU CITY, AZ 86403
· 207R00000X
$537K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,445 |
$109K |
| 2019 |
2,183 |
$104K |
| 2020 |
2,655 |
$88K |
| 2021 |
2,087 |
$85K |
| 2022 |
1,265 |
$76K |
| 2023 |
954 |
$50K |
| 2024 |
595 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,687 |
5,767 |
$442K |
| 99204 |
|
242 |
241 |
$26K |
| 99211 |
|
1,209 |
1,082 |
$15K |
| 99212 |
|
581 |
412 |
$14K |
| 87426 |
|
287 |
233 |
$8K |
| 96372 |
|
467 |
353 |
$7K |
| 99213 |
|
107 |
103 |
$5K |
| 87804 |
|
463 |
265 |
$5K |
| 87635 |
|
77 |
70 |
$3K |
| 0012A |
|
62 |
61 |
$2K |
| 0011A |
|
72 |
72 |
$2K |
| 83036 |
|
219 |
213 |
$2K |
| 87880 |
|
213 |
154 |
$2K |
| 81002 |
|
454 |
431 |
$1K |
| 93000 |
|
66 |
64 |
$841.66 |
| 86308 |
|
217 |
158 |
$634.31 |
| 82962 |
|
181 |
149 |
$437.13 |
| 80061 |
|
44 |
40 |
$335.71 |
| 36415 |
|
118 |
100 |
$261.00 |
| J1885 |
Ketorolac tromethamine inj |
80 |
70 |
$149.72 |
| J3301 |
Triamcinolone acet inj nos |
13 |
13 |
$66.50 |
| 91301 |
|
52 |
46 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
103 |
90 |
$0.00 |
| G8482 |
Flu immunize order/admin |
68 |
61 |
$0.00 |
| 3288F |
|
102 |
93 |
$0.00 |