NPI: 1386287753 · SAN LUIS, AZ 85336 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,315 | $50K |
| 2021 | 1,087 | $47K |
| 2022 | 1,893 | $58K |
| 2023 | 1,841 | $47K |
| 2024 | 1,422 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,396 | 1,956 | $130K | |
| 99213 | 1,892 | 1,561 | $75K | |
| 99212 | 864 | 782 | $20K | |
| 36415 | 1,287 | 1,187 | $3K | |
| 86328 | 70 | 66 | $2K | |
| 99203 | 45 | 42 | $2K | |
| 99211 | 153 | 135 | $2K | |
| 99215 | Prolong outpt/office vis | 14 | 12 | $861.27 |
| 99442 | 17 | 15 | $702.34 | |
| 99401 | 14 | 12 | $253.20 | |
| 96372 | 17 | 13 | $152.44 | |
| 90471 | 13 | 12 | $138.36 | |
| 1160F | 46 | 30 | $0.00 | |
| 3077F | 33 | 27 | $0.00 | |
| 3078F | 120 | 101 | $0.00 | |
| 1159F | 45 | 30 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 92 | 64 | $0.00 |
| 3008F | 347 | 265 | $0.00 | |
| 3074F | 31 | 26 | $0.00 | |
| 3044F | 62 | 55 | $0.00 |