PALM VEIN CENTER LLC
NPI: 1437401106
· SURPRISE, AZ 85374
· Clinic/Center
· NPI assigned 10/05/2012
$200K
Total Medicaid Paid
Provider Details
| Authorized Official | DRAGON, JIMMY (CEO) |
| NPI Enumeration Date | 10/05/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
168 |
$12K |
| 2019 |
124 |
$13K |
| 2020 |
47 |
$14K |
| 2021 |
34 |
$14K |
| 2022 |
76 |
$17K |
| 2023 |
614 |
$121K |
| 2024 |
53 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 36465 |
|
191 |
107 |
$141K |
| 93970 |
|
239 |
226 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
530 |
271 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
111 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$664.37 |