CARONDELET ST. MARY'S NORTHWEST, LLC
NPI: 1487716650
· TUCSON, AZ 85741
· 261QA1903X
$6.07M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,686 |
$914K |
| 2019 |
2,134 |
$989K |
| 2020 |
982 |
$634K |
| 2021 |
984 |
$596K |
| 2022 |
1,479 |
$885K |
| 2023 |
1,330 |
$1.07M |
| 2024 |
1,195 |
$976K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
|
2,270 |
2,191 |
$3.64M |
| 66984 |
|
3,546 |
2,814 |
$1.34M |
| 69436 |
|
2,185 |
1,730 |
$811K |
| 30140 |
|
284 |
228 |
$196K |
| 30520 |
|
167 |
148 |
$60K |
| 42830 |
|
31 |
26 |
$19K |
| 66821 |
|
50 |
37 |
$3K |
| 31231 |
|
15 |
13 |
$464.37 |
| L8699 |
Prosthetic implant nos |
813 |
683 |
$79.00 |
| V2632 |
Post chmbr intraocular lens |
429 |
383 |
$0.00 |