NPI: 1629490149 · PHOENIX, AZ 85017 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,916 | $238K |
| 2019 | 4,717 | $279K |
| 2020 | 1,317 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,785 | 3,191 | $288K | |
| 99403 | 1,713 | 1,418 | $108K | |
| 99204 | 460 | 431 | $41K | |
| 99213 | 688 | 613 | $31K | |
| 95165 | 137 | 16 | $26K | |
| 93971 | 307 | 271 | $23K | |
| 93923 | 301 | 263 | $23K | |
| 94060 | 360 | 283 | $13K | |
| 95923 | 94 | 86 | $9K | |
| 99385 | 100 | 96 | $8K | |
| 93000 | 492 | 428 | $6K | |
| 96372 | 379 | 251 | $5K | |
| 95913 | 44 | 24 | $5K | |
| 99203 | 64 | 63 | $4K | |
| 95886 | 97 | 24 | $4K | |
| 99386 | 44 | 37 | $3K | |
| 93306 | 16 | 12 | $2K | |
| 99396 | 15 | 12 | $807.92 | |
| 36415 | 314 | 279 | $680.15 | |
| 81000 | 293 | 259 | $655.35 | |
| 99387 | 15 | 12 | $239.90 | |
| 99000 | 135 | 128 | $108.48 | |
| J1885 | Ketorolac tromethamine inj | 63 | 28 | $72.58 |
| J0696 | Ceftriaxone sodium injection | 34 | 30 | $28.09 |