NPI: 1205267549 · SUSANVILLE, CA 96130 · Multi-Specialty Clinic/Center · NPI assigned 12/12/2013
Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more
| Authorized Official | LARAWAY, DENNIS (CFO) |
| Parent Organization | BANNER HEALTH |
| NPI Enumeration Date | 12/12/2013 |
Other providers sharing the same authorized official: LARAWAY, DENNIS
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 676 | $34K |
| 2019 | 966 | $50K |
| 2020 | 763 | $45K |
| 2021 | 363 | $18K |
| 2022 | 121 | $5K |
| 2023 | 185 | $7K |
| 2024 | 14 | $300.42 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,760 | 1,636 | $89K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,103 | 1,047 | $65K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 91 | 85 | $4K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24 | 24 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 17 | 15 | $263.79 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 47 | 41 | $215.97 |
| 99499 | 16 | 16 | $206.64 | |
| 80305 | 13 | 13 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 17 | 14 | $0.00 |