CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
NPI: 1376178129
· GILBERT, AZ 85234
· 261QM1300X
$955K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,408 |
$56K |
| 2022 |
5,973 |
$316K |
| 2023 |
4,334 |
$241K |
| 2024 |
6,159 |
$342K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
|
9,004 |
5,233 |
$475K |
| 99214 |
|
4,248 |
2,639 |
$249K |
| 99213 |
|
3,168 |
2,335 |
$129K |
| G0480 |
Drug test def 1-7 classes |
944 |
812 |
$93K |
| 87389 |
|
91 |
88 |
$2K |
| 90837 |
|
19 |
12 |
$2K |
| 90832 |
|
42 |
36 |
$2K |
| 81025 |
|
211 |
202 |
$1K |
| 86803 |
|
73 |
70 |
$951.16 |
| 87340 |
|
74 |
74 |
$747.53 |