NPI: 1346725488 · FOUNTAIN HILLS, AZ 85268 · 363LP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 29 | $293.58 |
| 2021 | 570 | $15K |
| 2022 | 1,030 | $42K |
| 2023 | 1,699 | $47K |
| 2024 | 2,188 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 1,670 | 1,576 | $61K |
| 99349 | 1,407 | 1,372 | $34K | |
| 99344 | 489 | 476 | $19K | |
| 99337 | 608 | 559 | $18K | |
| 99328 | 140 | 133 | $7K | |
| 99205 | Prolong outpt/office vis | 196 | 184 | $6K |
| 99310 | Prolong nursin fac eval 15m | 122 | 118 | $6K |
| 99345 | Prolong home eval add 15m | 56 | 55 | $6K |
| 99215 | Prolong outpt/office vis | 241 | 219 | $4K |
| 99327 | 93 | 88 | $3K | |
| 99348 | 177 | 175 | $3K | |
| 99342 | 92 | 89 | $1K | |
| 17000 | 121 | 107 | $1K | |
| 99306 | Prolong nursin fac eval 15m | 12 | 12 | $1K |
| 99204 | 14 | 13 | $345.50 | |
| 99214 | 22 | 21 | $278.60 | |
| 99203 | 26 | 22 | $257.06 | |
| 17110 | 14 | 14 | $161.76 | |
| T2016 | Habil res waiver per diem | 16 | 14 | $0.09 |