NPI: 1336265982 · PRESCOTT VALLEY, AZ 86314 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,723 | $715K |
| 2019 | 9,382 | $790K |
| 2020 | 8,412 | $747K |
| 2021 | 7,802 | $658K |
| 2022 | 7,493 | $641K |
| 2023 | 7,529 | $774K |
| 2024 | 13,424 | $938K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 29,145 | 24,832 | $5.26M |
| 99214 | 10,870 | 9,235 | $2K | |
| G0467 | Fqhc visit, estab pt | 1,438 | 1,174 | $424.89 |
| 99213 | 4,027 | 3,566 | $163.34 | |
| G2025 | Dis site tele svcs rhc/fqhc | 326 | 188 | $128.87 |
| D7140 | 1,393 | 813 | $87.59 | |
| D0140 | 2,068 | 1,772 | $39.36 | |
| 90471 | 153 | 133 | $18.97 | |
| 90686 | 383 | 348 | $15.37 | |
| D1110 | 900 | 737 | $0.00 | |
| 90460 | 383 | 355 | $0.00 | |
| 90837 | 211 | 133 | $0.00 | |
| D0220 | 2,155 | 1,827 | $0.00 | |
| 3078F | 1,215 | 1,138 | $0.00 | |
| 4004F | 181 | 166 | $0.00 | |
| 99212 | 345 | 310 | $0.00 | |
| 99203 | 115 | 102 | $0.00 | |
| 81003 | 45 | 40 | $0.00 | |
| 99211 | 189 | 182 | $0.00 | |
| 3077F | 395 | 363 | $0.00 | |
| 1159F | 652 | 598 | $0.00 | |
| 99173 | 14 | 14 | $0.00 | |
| 90833 | 17 | 13 | $0.00 | |
| 99394 | 16 | 16 | $0.00 | |
| 99395 | 13 | 13 | $0.00 | |
| 83036 | 764 | 727 | $0.00 | |
| 3080F | 297 | 272 | $0.00 | |
| 3075F | 275 | 267 | $0.00 | |
| 3074F | 1,341 | 1,241 | $0.00 | |
| 3079F | 448 | 432 | $0.00 | |
| 3008F | 1,682 | 1,546 | $0.00 | |
| 1036F | 1,571 | 1,420 | $0.00 | |
| D0150 | 307 | 243 | $0.00 | |
| 92551 | 148 | 136 | $0.00 | |
| D0210 | 169 | 137 | $0.00 | |
| 3044F | 85 | 81 | $0.00 | |
| 2001F | 1,878 | 1,713 | $0.00 | |
| D0120 | 43 | 40 | $0.00 | |
| D2392 | 30 | 28 | $0.00 | |
| 99202 | 33 | 30 | $0.00 | |
| 90656 | 30 | 30 | $0.00 | |
| G0008 | Admin influenza virus vac | 15 | 15 | $0.00 |