GOOD NIGHT PEDIATRICS EAST VALLEY PC
NPI: 1629296249
· GILBERT, AZ 85234
· 2080A0000X
$1.04M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,759 |
$369K |
| 2019 |
6,755 |
$474K |
| 2020 |
2,502 |
$200K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,397 |
6,018 |
$640K |
| 99203 |
|
2,987 |
2,679 |
$205K |
| 99204 |
|
1,077 |
1,056 |
$122K |
| 99202 |
|
443 |
411 |
$37K |
| 99213 |
|
328 |
311 |
$31K |
| 87880 |
|
2,820 |
2,549 |
$5K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 99000 |
|
486 |
454 |
$296.33 |
| 94640 |
|
72 |
51 |
$180.29 |
| 94760 |
|
305 |
257 |
$26.82 |
| J1100 |
Dexamethasone sodium phos |
14 |
12 |
$1.50 |
| S0119 |
Ondansetron 4 mg |
12 |
12 |
$0.00 |
| 81002 |
|
16 |
14 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
31 |
27 |
$0.00 |