NPI: 1427335140 · WHITERIVER, AZ 85941 · 261QE0002X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,292 | $1.50M |
| 2019 | 26,358 | $10.72M |
| 2020 | 26,081 | $10.91M |
| 2021 | 35,303 | $16.23M |
| 2022 | 38,765 | $19.20M |
| 2023 | 31,375 | $15.83M |
| 2024 | 28,942 | $16.61M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | 163,967 | 107,146 | $89.18M | |
| 99212 | 10,482 | 6,558 | $1.28M | |
| 70450 | 2,323 | 2,282 | $104K | |
| 71046 | 5,576 | 5,506 | $72K | |
| 99213 | 927 | 890 | $61K | |
| 74177 | 537 | 535 | $59K | |
| 99231 | 1,275 | 767 | $39K | |
| 99239 | 415 | 411 | $36K | |
| 74176 | 405 | 401 | $32K | |
| 72125 | 415 | 412 | $22K | |
| 99214 | 141 | 140 | $20K | |
| 71045 | 1,860 | 1,808 | $18K | |
| 99238 | 260 | 259 | $16K | |
| 99232 | 211 | 131 | $12K | |
| 73130 | 613 | 569 | $7K | |
| 99283 | 132 | 126 | $7K | |
| 97110 | 346 | 116 | $7K | |
| 73630 | 442 | 424 | $5K | |
| 73610 | 333 | 325 | $4K | |
| 71260 | 49 | 49 | $4K | |
| 73110 | 249 | 228 | $3K | |
| 99222 | 24 | 24 | $3K | |
| 70486 | 53 | 52 | $3K | |
| 73560 | 244 | 229 | $2K | |
| 76705 | 61 | 61 | $2K | |
| 99284 | 15 | 13 | $2K | |
| 71250 | 24 | 24 | $1K | |
| 99282 | 55 | 54 | $756.52 | |
| 90480 | 136 | 134 | $654.00 | |
| 73030 | 13 | 12 | $240.51 | |
| 99443 | 15 | 15 | $171.00 | |
| 99442 | 12 | 12 | $164.18 | |
| 73070 | 14 | 13 | $123.34 | |
| G0008 | Admin influenza virus vac | 728 | 721 | $0.00 |
| 90686 | 109 | 108 | $0.00 | |
| 90694 | 91 | 91 | $0.00 | |
| 90688 | 16 | 16 | $0.00 | |
| Q2035 | Afluria vacc, 3 yrs & >, im | 22 | 22 | $0.00 |
| 0004A | 63 | 62 | $0.00 | |
| 0054A | 47 | 47 | $0.00 | |
| 90653 | 82 | 81 | $0.00 | |
| 0124A | 150 | 150 | $0.00 | |
| 91320 | 21 | 21 | $0.00 | |
| 90662 | 163 | 161 | $0.00 |