SMITHS FOOD & DRUG CENTERS INC
NPI: 1689618993
· PRESCOTT, AZ 86301
· 332B00000X
$1.63M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,834 |
$477K |
| 2021 |
2,390 |
$923K |
| 2022 |
520 |
$228K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,299 |
2,071 |
$779K |
| 99213 |
|
1,428 |
1,311 |
$510K |
| 99215 |
Prolong outpt/office vis |
382 |
367 |
$164K |
| 99212 |
|
191 |
188 |
$74K |
| 99396 |
|
224 |
224 |
$71K |
| 99395 |
|
38 |
38 |
$13K |
| 99203 |
|
37 |
37 |
$12K |
| 90686 |
|
43 |
43 |
$3K |
| 90471 |
|
102 |
102 |
$2K |