NPI: 1609966860 · PAGE, AZ 86040 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32,390 | $2.10M |
| 2019 | 48,147 | $4.30M |
| 2020 | 42,394 | $4.04M |
| 2021 | 94,972 | $4.69M |
| 2022 | 103,592 | $4.88M |
| 2023 | 92,180 | $5.12M |
| 2024 | 85,598 | $6.24M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 153,247 | 122,344 | $30.81M |
| G0467 | Fqhc visit, estab pt | 5,179 | 3,588 | $484K |
| 59409 | 26 | 25 | $20K | |
| G0466 | Fqhc visit new patient | 249 | 144 | $17K |
| G0468 | Fqhc visit, ippe or awv | 112 | 62 | $10K |
| 99214 | 27,441 | 23,119 | $5K | |
| 99213 | 43,965 | 36,479 | $4K | |
| 99000 | 15,815 | 14,170 | $502.70 | |
| 0012A | 272 | 265 | $200.00 | |
| 36415 | 6,791 | 6,203 | $103.23 | |
| 99212 | 5,581 | 4,326 | $55.12 | |
| 90471 | 3,000 | 2,848 | $24.00 | |
| 3008F | 30,776 | 26,050 | $18.01 | |
| 87880 | 1,990 | 1,842 | $14.88 | |
| G0008 | Admin influenza virus vac | 16 | 12 | $7.65 |
| 3078F | 17,604 | 15,306 | $1.04 | |
| 2001F | 29,556 | 25,165 | $1.04 | |
| 1111F | 24,987 | 21,418 | $1.04 | |
| 3074F | 20,162 | 17,425 | $1.04 | |
| D0190 | 2,185 | 1,680 | $0.00 | |
| 3077F | 1,768 | 1,613 | $0.00 | |
| 99391 | 965 | 920 | $0.00 | |
| 80305 | 1,179 | 973 | $0.00 | |
| G8753 | Sys bp > or = 140 | 1,189 | 1,027 | $0.00 |
| D9996 | 2,309 | 1,556 | $0.00 | |
| 81003 | 3,474 | 2,742 | $0.00 | |
| 90460 | 4,003 | 3,823 | $0.00 | |
| 99393 | 257 | 255 | $0.00 | |
| 90837 | 1,325 | 713 | $0.00 | |
| 3016F | 1,643 | 1,582 | $0.00 | |
| 82947 | 3,061 | 2,538 | $0.00 | |
| G8752 | Sys bp less 140 | 14,736 | 11,870 | $0.00 |
| D1120 | 576 | 504 | $0.00 | |
| 4004F | 455 | 428 | $0.00 | |
| 99173 | 555 | 525 | $0.00 | |
| 90461 | 1,876 | 1,794 | $0.00 | |
| 90670 | 595 | 569 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 95 | 89 | $0.00 |
| 99203 | 546 | 503 | $0.00 | |
| 81025 | 245 | 233 | $0.00 | |
| 99215 | Prolong outpt/office vis | 611 | 539 | $0.00 |
| 99392 | 378 | 364 | $0.00 | |
| 90715 | 229 | 221 | $0.00 | |
| 86703 | 638 | 600 | $0.00 | |
| 3046F | 84 | 80 | $0.00 | |
| 91320 | 13 | 13 | $0.00 | |
| 99394 | 489 | 464 | $0.00 | |
| 90681 | 14 | 14 | $0.00 | |
| D0220 | 176 | 156 | $0.00 | |
| 87804 | 189 | 183 | $0.00 | |
| 90472 | 69 | 64 | $0.00 | |
| 0071A | 14 | 14 | $0.00 | |
| 99204 | 69 | 68 | $0.00 | |
| D1110 | 59 | 59 | $0.00 | |
| 91313 | 13 | 12 | $0.00 | |
| 90832 | 27 | 18 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| A4550 | Surgical trays | 12 | 12 | $0.00 |
| J1885 | Ketorolac tromethamine inj | 226 | 185 | $0.00 |
| D1206 | 3,751 | 3,055 | $0.00 | |
| 90647 | 385 | 370 | $0.00 | |
| J0561 | Penicillin g benzathine inj | 133 | 131 | $0.00 |
| 87428 | 839 | 775 | $0.00 | |
| G8754 | Dias bp less 90 | 15,529 | 12,497 | $0.00 |
| 1035F | 1,462 | 1,312 | $0.00 | |
| 36416 | 9,203 | 8,228 | $0.00 | |
| 83036 | 2,443 | 2,295 | $0.00 | |
| 90686 | 3,212 | 3,063 | $0.00 | |
| 99202 | 317 | 309 | $0.00 | |
| D1310 | 2,102 | 1,371 | $0.00 | |
| 90723 | 348 | 327 | $0.00 | |
| 3075F | 3,193 | 2,965 | $0.00 | |
| 1034F | 2,058 | 1,851 | $0.00 | |
| 96372 | 3,392 | 2,755 | $0.00 | |
| 3044F | 63 | 62 | $0.00 | |
| J3420 | Vitamin b12 injection | 155 | 107 | $0.00 |
| D1330 | 2,965 | 1,932 | $0.00 | |
| 3079F | 6,853 | 6,212 | $0.00 | |
| 3080F | 704 | 636 | $0.00 | |
| H0038 | Self-help/peer svc per 15min | 125 | 102 | $0.00 |
| G8755 | Dias bp > or = 90 | 654 | 545 | $0.00 |
| 87807 | 52 | 44 | $0.00 | |
| D0120 | 261 | 233 | $0.00 | |
| G0472 | Hep c screen high risk/other | 136 | 133 | $0.00 |
| 85018 | 583 | 560 | $0.00 | |
| 0011A | 296 | 288 | $0.00 | |
| 0134A | 14 | 13 | $0.00 | |
| D0150 | 196 | 194 | $0.00 | |
| 90656 | 376 | 375 | $0.00 | |
| D0230 | 117 | 85 | $0.00 | |
| D0602 | 637 | 431 | $0.00 | |
| 86803 | 718 | 671 | $0.00 | |
| D0603 | 60 | 42 | $0.00 | |
| 90792 | 42 | 40 | $0.00 | |
| 91301 | 783 | 558 | $0.00 | |
| 87426 | 665 | 630 | $0.00 | |
| D0140 | 48 | 44 | $0.00 | |
| J2001 | Lidocaine injection | 54 | 51 | $0.00 |
| 90677 | 24 | 24 | $0.00 | |
| 91306 | 104 | 81 | $0.00 | |
| 96110 | 13 | 13 | $0.00 | |
| D0272 | 34 | 34 | $0.00 | |
| 1036F | 15 | 15 | $0.00 | |
| 99383 | 67 | 67 | $0.00 | |
| 90680 | 110 | 103 | $0.00 | |
| 99384 | 79 | 79 | $0.00 | |
| D1351 | 87 | 31 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 118 | 96 | $0.00 |
| J0696 | Ceftriaxone sodium injection | 98 | 86 | $0.00 |
| J7620 | Albuterol ipratrop non-comp | 28 | 27 | $0.00 |
| 0064A | 105 | 81 | $0.00 | |
| 90834 | 130 | 89 | $0.00 | |
| 94640 | 67 | 60 | $0.00 | |
| 0072A | 19 | 19 | $0.00 | |
| 90651 | 47 | 47 | $0.00 | |
| D0210 | 12 | 12 | $0.00 | |
| 91307 | 50 | 46 | $0.00 | |
| 90480 | 14 | 14 | $0.00 |