KLARISANA PHYSICIAN SERVICES PLLC
NPI: 1306503446
· LONGMONT, CO 80501
· General Practice Physician
· NPI assigned 11/23/2021
$993K
Total Medicaid Paid
Provider Details
| Authorized Official | SOTO, ALYSSA (ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 11/23/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,707 |
$257K |
| 2023 |
4,628 |
$372K |
| 2024 |
3,943 |
$363K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,150 |
2,800 |
$540K |
| 99417 |
Prolong home eval add 15m |
4,132 |
2,783 |
$329K |
| 96372 |
|
3,770 |
2,397 |
$102K |
| 90837 |
|
202 |
106 |
$19K |
| 99204 |
|
12 |
12 |
$2K |
| 96130 |
|
12 |
12 |
$1K |