OLD PUEBLO ANESTHESIA
NPI: 1194770768
· TUCSON, AZ 85712
· Anesthesiology Physician
· NPI assigned 05/23/2006
$1.17M
Total Medicaid Paid
Provider Details
| Authorized Official | FRESH, KRISTY (ADMINISTRATOR) |
| NPI Enumeration Date | 05/23/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
96 |
$50K |
| 2019 |
153 |
$78K |
| 2020 |
618 |
$255K |
| 2021 |
668 |
$318K |
| 2022 |
555 |
$264K |
| 2023 |
457 |
$204K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 01967 |
|
2,361 |
2,301 |
$1.12M |
| 01922 |
|
110 |
109 |
$38K |
| 00731 |
|
30 |
29 |
$7K |
| 00170 |
|
14 |
14 |
$4K |
| 00142 |
|
16 |
15 |
$828.04 |
| 99140 |
|
16 |
16 |
$0.00 |