CRYSTAL CANYON ENT & FACIAL PLASTIC SURGERY PC
NPI: 1285780767
· FLAGSTAFF, AZ 86001
· Allergy & Immunology Physician
· NPI assigned 01/26/2007
$360K
Total Medicaid Paid
Provider Details
| Authorized Official | TAYLOR, PAMELA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/26/2007 |
Related Entities
Other providers sharing the same authorized official: TAYLOR, PAMELA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,516 |
$107K |
| 2019 |
2,220 |
$58K |
| 2020 |
1,572 |
$43K |
| 2021 |
1,166 |
$40K |
| 2022 |
1,025 |
$45K |
| 2023 |
1,168 |
$45K |
| 2024 |
703 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,678 |
3,463 |
$155K |
| 99205 |
Prolong outpt/office vis |
523 |
512 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
649 |
624 |
$43K |
| 92567 |
|
3,071 |
2,745 |
$33K |
| 92552 |
|
1,315 |
1,210 |
$29K |
| 92587 |
|
1,909 |
1,748 |
$27K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
38 |
36 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
75 |
$3K |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
67 |
63 |
$2K |