NPI: 1689282998 · GLENDALE, AZ 85308 · 207LP2900X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 209 | $11K |
| 2022 | 2,060 | $78K |
| 2023 | 2,264 | $97K |
| 2024 | 3,168 | $122K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,859 | 3,001 | $231K | |
| 99204 | 380 | 370 | $32K | |
| 64483 | 105 | 97 | $18K | |
| 99152 | 273 | 241 | $6K | |
| 64484 | 81 | 76 | $6K | |
| 96136 | 164 | 159 | $5K | |
| 96372 | 226 | 200 | $2K | |
| 96374 | 123 | 109 | $2K | |
| 96132 | 21 | 21 | $2K | |
| 96127 | 96 | 95 | $911.20 | |
| J1885 | Ketorolac tromethamine inj | 407 | 335 | $507.96 |
| 99153 | Mod sedat endo service >5yrs | 90 | 82 | $489.98 |
| J1100 | Dexamethasone sodium phos | 619 | 568 | $420.98 |
| Q9966 | Locm 200-299mg/ml iodine,1ml | 619 | 553 | $285.63 |
| J3010 | Fentanyl citrate injection | 67 | 53 | $212.92 |
| J3301 | Triamcinolone acet inj nos | 44 | 38 | $131.69 |
| J3490 | Drugs unclassified injection | 64 | 53 | $97.42 |
| J2250 | Inj midazolam hydrochloride | 463 | 411 | $80.96 |