CITIZENS INTEGRATED MEDICAL SERVICES LLC
NPI: 1497379069
· GILBERT, AZ 85295
· Acute Care Nurse Practitioner
· NPI assigned 05/29/2020
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | SANG, NOAH (ADMINISTRATOR) |
| NPI Enumeration Date | 05/29/2020 |
Related Entities
Other providers sharing the same authorized official: SANG, NOAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$214.32 |
| 2021 |
564 |
$26K |
| 2022 |
1,282 |
$65K |
| 2023 |
416 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99484 |
|
778 |
771 |
$25K |
| 99401 |
|
841 |
823 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
175 |
$15K |
| 99327 |
|
86 |
86 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
142 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
47 |
47 |
$8K |
| 99337 |
|
48 |
45 |
$7K |
| 99326 |
|
62 |
60 |
$7K |
| 86580 |
|
86 |
76 |
$138.70 |