NPI: 1699173245 · GLENDALE, AZ 85302 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,674 | $437K |
| 2019 | 6,500 | $464K |
| 2020 | 54,052 | $3.10M |
| 2021 | 67,392 | $4.66M |
| 2022 | 58,805 | $3.83M |
| 2023 | 22,782 | $1.81M |
| 2024 | 16,886 | $1.51M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 76,304 | 51,550 | $14.07M |
| T1016 | Case management | 76,851 | 37,590 | $1.57M |
| 99215 | Prolong outpt/office vis | 1,078 | 1,013 | $91K |
| 99214 | 17,100 | 14,621 | $58K | |
| 99213 | 9,577 | 8,652 | $9K | |
| H0004 | Alcohol and/or drug services | 29,118 | 18,510 | $963.97 |
| H0031 | Mh health assess by non-md | 12,016 | 11,052 | $779.08 |
| 0012A | 47 | 46 | $485.17 | |
| G0467 | Fqhc visit, estab pt | 532 | 512 | $374.25 |
| 90792 | 3,304 | 3,078 | $353.92 | |
| 99204 | 475 | 449 | $304.14 | |
| 0011A | 35 | 31 | $186.34 | |
| 99203 | 1,359 | 1,247 | $75.95 | |
| 36415 | 1,163 | 869 | $54.59 | |
| 96151 | 989 | 774 | $23.94 | |
| 90832 | 73 | 55 | $0.00 | |
| A0110 | Nonemergency transport bus | 65 | 48 | $0.00 |
| 90837 | 293 | 207 | $0.00 | |
| 99212 | 441 | 428 | $0.00 | |
| 97803 | 34 | 25 | $0.00 | |
| 81003 | 56 | 41 | $0.00 | |
| 99442 | 148 | 129 | $0.00 | |
| H2014 | Skills train and dev, 15 min | 396 | 242 | $0.00 |
| 96156 | 515 | 396 | $0.00 | |
| H0038 | Self-help/peer svc per 15min | 130 | 86 | $0.00 |
| 96150 | 948 | 782 | $0.00 | |
| 99385 | 14 | 12 | $0.00 | |
| 99202 | 30 | 27 | $0.00 |