NPI: 1558848408 · PHOENIX, AZ 85020 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 271 | $651.77 |
| 2024 | 12 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00731 | 12 | 12 | $3K | |
| A4222 | Infusion supplies with pump | 18 | 14 | $470.71 |
| A4649 | Surgical supplies | 21 | 14 | $175.98 |
| A4615 | Cannula nasal | 17 | 13 | $3.78 |
| J2704 | Inj, propofol, 10 mg | 32 | 14 | $1.30 |
| R0076 | Transport portable ekg | 19 | 15 | $0.00 |
| E0445 | Oximeter non-invasive | 16 | 12 | $0.00 |
| E1353 | Oxygen supplies regulator | 17 | 12 | $0.00 |
| A4207 | 2 cc sterile syringe&needle | 19 | 15 | $0.00 |
| A4213 | 20+ cc syringe only | 19 | 15 | $0.00 |
| E1354 | Wheeled cart, port cyl/conc | 16 | 12 | $0.00 |
| E1399 | Durable medical equipment mi | 45 | 12 | $0.00 |
| J2001 | Lidocaine injection | 32 | 14 | $0.00 |