NPI: 1356628028 · POLACCA, AZ 86042 · 104100000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,640 | $1.22M |
| 2019 | 13,183 | $4.05M |
| 2020 | 11,048 | $4.28M |
| 2021 | 11,473 | $4.96M |
| 2022 | 10,994 | $5.77M |
| 2023 | 8,364 | $4.88M |
| 2024 | 7,553 | $4.74M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | 55,835 | 39,163 | $25.62M | |
| 99441 | 8,027 | 7,369 | $4.17M | |
| 99213 | 1,815 | 1,758 | $67K | |
| 97110 | 834 | 553 | $16K | |
| 71046 | 1,135 | 1,121 | $13K | |
| 99212 | 50 | 39 | $12K | |
| 99214 | 57 | 56 | $6K | |
| 99283 | 124 | 121 | $3K | |
| 70450 | 42 | 42 | $1K | |
| 92014 | 50 | 50 | $1K | |
| 97140 | 94 | 36 | $1K | |
| 74176 | 14 | 12 | $1K | |
| 71045 | 117 | 114 | $846.10 | |
| 90686 | 28 | 28 | $436.24 | |
| 90460 | 12 | 12 | $310.56 | |
| 99282 | 13 | 13 | $221.27 | |
| 97530 | 12 | 12 | $191.80 | |
| 98966 | 12 | 12 | $35.67 | |
| 90656 | 15 | 15 | $0.01 | |
| 90653 | 94 | 94 | $0.00 | |
| 91312 | 16 | 16 | $0.00 | |
| 91320 | 21 | 21 | $0.00 | |
| 0124A | 16 | 16 | $0.00 | |
| 90662 | 14 | 14 | $0.00 | |
| G0008 | Admin influenza virus vac | 442 | 442 | $0.00 |
| Q2035 | Afluria vacc, 3 yrs & >, im | 229 | 229 | $0.00 |
| 90688 | 72 | 72 | $0.00 | |
| 97535 | 29 | 24 | $0.00 | |
| 90694 | 15 | 15 | $0.00 | |
| 90480 | 21 | 21 | $0.00 |