NPI: 1235256637 · PRESCOTT, AZ 86305 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,654 | $636K |
| 2019 | 8,345 | $897K |
| 2020 | 7,162 | $810K |
| 2021 | 6,841 | $718K |
| 2022 | 6,008 | $633K |
| 2023 | 9,484 | $931K |
| 2024 | 14,620 | $917K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 26,958 | 22,249 | $5.54M |
| 99214 | 10,012 | 8,493 | $2K | |
| G0467 | Fqhc visit, estab pt | 1,873 | 1,478 | $921.50 |
| 99213 | 6,369 | 5,491 | $653.54 | |
| G2025 | Dis site tele svcs rhc/fqhc | 256 | 135 | $128.87 |
| 99204 | 73 | 71 | $47.26 | |
| 90471 | 232 | 202 | $37.94 | |
| 90686 | 436 | 387 | $30.74 | |
| 99212 | 823 | 729 | $0.00 | |
| 4004F | 318 | 277 | $0.00 | |
| 99203 | 120 | 113 | $0.00 | |
| 3077F | 254 | 242 | $0.00 | |
| 3078F | 1,316 | 1,192 | $0.00 | |
| 1159F | 615 | 549 | $0.00 | |
| 99001 | 13 | 13 | $0.00 | |
| 99395 | 30 | 25 | $0.00 | |
| 99211 | 61 | 60 | $0.00 | |
| 90837 | 36 | 29 | $0.00 | |
| 81003 | 30 | 28 | $0.00 | |
| J3301 | Triamcinolone acet inj nos | 14 | 13 | $0.00 |
| 90460 | 28 | 17 | $0.00 | |
| 99173 | 29 | 28 | $0.00 | |
| 99394 | 12 | 12 | $0.00 | |
| 99215 | Prolong outpt/office vis | 18 | 14 | $0.00 |
| 87804 | 15 | 15 | $0.00 | |
| 3079F | 991 | 892 | $0.00 | |
| 0064A | 42 | 34 | $0.00 | |
| 3044F | 185 | 177 | $0.00 | |
| 2001F | 2,114 | 1,818 | $0.00 | |
| 1036F | 1,939 | 1,643 | $0.00 | |
| 0012A | 66 | 65 | $0.00 | |
| 3008F | 1,803 | 1,570 | $0.00 | |
| 83036 | 513 | 488 | $0.00 | |
| 90792 | 66 | 63 | $0.00 | |
| 0011A | 68 | 65 | $0.00 | |
| 3075F | 323 | 304 | $0.00 | |
| 3074F | 1,854 | 1,631 | $0.00 | |
| 92551 | 42 | 37 | $0.00 | |
| 91306 | 33 | 28 | $0.00 | |
| 3080F | 25 | 24 | $0.00 | |
| 96372 | 50 | 44 | $0.00 | |
| G0008 | Admin influenza virus vac | 17 | 17 | $0.00 |
| 90656 | 30 | 29 | $0.00 | |
| 1111F | 12 | 12 | $0.00 |