ARIZONA GRAND MEDICAL CENTER PLLC
NPI: 1619998705
· PRESCOTT, AZ 86305
· 261QM1300X
$1.54M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,094 |
$456K |
| 2019 |
6,329 |
$256K |
| 2020 |
4,038 |
$171K |
| 2021 |
4,244 |
$178K |
| 2022 |
5,250 |
$250K |
| 2023 |
3,852 |
$174K |
| 2024 |
1,419 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
15,581 |
14,452 |
$782K |
| 99213 |
|
5,309 |
4,868 |
$199K |
| 94729 |
|
3,796 |
3,594 |
$120K |
| 94726 |
|
3,857 |
3,645 |
$118K |
| 94060 |
|
3,327 |
3,138 |
$99K |
| 95811 |
|
213 |
206 |
$85K |
| 99204 |
|
470 |
449 |
$41K |
| 99205 |
Prolong outpt/office vis |
201 |
190 |
$21K |
| 99245 |
|
106 |
106 |
$19K |
| 95810 |
|
44 |
42 |
$19K |
| 94010 |
|
708 |
684 |
$15K |
| 95813 |
|
41 |
38 |
$9K |
| 99244 |
|
60 |
59 |
$8K |
| 94664 |
|
281 |
252 |
$3K |
| 99215 |
Prolong outpt/office vis |
29 |
25 |
$2K |
| 99203 |
|
14 |
12 |
$837.24 |
| 82962 |
|
463 |
411 |
$427.94 |
| J7611 |
Albuterol non-comp con |
777 |
696 |
$59.61 |
| J7613 |
Albuterol non-comp unit |
1,074 |
1,044 |
$26.70 |
| G8420 |
Calc bmi norm parameters |
423 |
347 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
73 |
50 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
1,379 |
1,196 |
$0.00 |