DHHS IHS PHOENIX AREA
NPI: 1427335181
· CIBECUE, AZ 85911
· Clinic/Center
· NPI assigned 11/09/2011
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINEZ, MICHELLE (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 11/09/2011 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$425.76 |
| 2019 |
15 |
$96.90 |
| 2020 |
47 |
$646.46 |
| 2021 |
36 |
$1K |
| 2023 |
375 |
$45K |
| 2024 |
336 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
724 |
522 |
$94K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
69 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |