NPI: 1659317022 · PRESCOTT, AZ 86305 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,136 | $493K |
| 2019 | 2,098 | $33K |
| 2020 | 1,195 | $19K |
| 2021 | 1,838 | $34K |
| 2022 | 1,037 | $16K |
| 2023 | 14 | $11.99 |
| 2024 | 136 | $207.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 2,807 | 2,154 | $456K |
| 90471 | 3,839 | 3,406 | $55K | |
| 90472 | 2,365 | 2,079 | $53K | |
| 90651 | 511 | 418 | $8K | |
| 90686 | 863 | 788 | $6K | |
| 0012A | 101 | 101 | $3K | |
| 90715 | 481 | 410 | $3K | |
| 0011A | 115 | 113 | $3K | |
| 0064A | 87 | 65 | $2K | |
| 90746 | 52 | 38 | $2K | |
| 90734 | 342 | 252 | $2K | |
| 90707 | 56 | 39 | $1K | |
| 0071A | 35 | 30 | $1K | |
| 99214 | 1,104 | 907 | $223.98 | |
| 90619 | 54 | 48 | $24.00 | |
| 99213 | 1,118 | 897 | $2.39 | |
| 91301 | 120 | 114 | $0.00 | |
| 2001F | 27 | 24 | $0.00 | |
| 91306 | 17 | 16 | $0.00 | |
| 3008F | 27 | 24 | $0.00 | |
| 90696 | 22 | 14 | $0.00 | |
| 3074F | 12 | 12 | $0.00 | |
| 91307 | 13 | 13 | $0.00 | |
| 90460 | 25 | 12 | $0.00 | |
| 90633 | 135 | 100 | $0.00 | |
| 1159F | 28 | 25 | $0.00 | |
| 90710 | 70 | 60 | $0.00 | |
| 99394 | 16 | 14 | $0.00 | |
| 1160F | 12 | 12 | $0.00 |