FORTUNA MEDICAL GROUP
NPI: 1386044477
· YUMA, AZ 85367
· Clinic/Center
· NPI assigned 08/26/2014
$251K
Total Medicaid Paid
Provider Details
| Authorized Official | LOPEZ, OSWALD (MANAGER) |
| NPI Enumeration Date | 08/26/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,716 |
$50K |
| 2019 |
1,150 |
$39K |
| 2020 |
725 |
$33K |
| 2021 |
835 |
$35K |
| 2022 |
1,009 |
$42K |
| 2023 |
634 |
$29K |
| 2024 |
507 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,419 |
2,161 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,104 |
2,350 |
$111K |
| 90756 |
|
32 |
19 |
$310.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
14 |
$90.45 |