SLEEP DISORDER CENTER OF PRESCOTT VALLEY LLC
NPI: 1548365414
· PRESCOTT VALLEY, AZ 86314
· Sleep Disorder Diagnostic Clinic/Center
· NPI assigned 09/14/2006
$166K
Total Medicaid Paid
Provider Details
| Authorized Official | MUNDELL, MELANIE (BILLING SUPERVISOR) |
| NPI Enumeration Date | 09/14/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
334 |
$20K |
| 2019 |
113 |
$11K |
| 2020 |
180 |
$10K |
| 2021 |
279 |
$30K |
| 2022 |
148 |
$12K |
| 2023 |
516 |
$71K |
| 2024 |
211 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,242 |
1,208 |
$73K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
68 |
65 |
$38K |
| 99205 |
Prolong outpt/office vis |
225 |
224 |
$29K |
| 95811 |
|
34 |
32 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
104 |
$5K |
| 99215 |
Prolong outpt/office vis |
54 |
53 |
$5K |
| 94660 |
|
54 |
51 |
$0.00 |