NPI: 1497930317 · SURPRISE, AZ 85374 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 294 | $9K |
| 2021 | 528 | $19K |
| 2022 | 1,146 | $364.88 |
| 2023 | 464 | $142.81 |
| 2024 | 105 | $42.58 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00731 | 101 | 92 | $15K | |
| 00811 | 90 | 84 | $13K | |
| J7040 | Normal saline solution infus | 519 | 499 | $533.76 |
| A4208 | 3 cc sterile syringe&needle | 400 | 350 | $96.50 |
| J2704 | Inj, propofol, 10 mg | 534 | 506 | $83.36 |
| J2001 | Lidocaine injection | 574 | 474 | $2.49 |
| E0600 | Suction pump portab hom modl | 132 | 118 | $0.00 |
| E1399 | Durable medical equipment mi | 89 | 81 | $0.00 |
| S1015 | Iv tubing extension set | 98 | 97 | $0.00 |