NPI: 1720303563 · SIERRA VISTA, AZ 85635 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,213 | $45K |
| 2019 | 1,688 | $60K |
| 2020 | 1,697 | $63K |
| 2021 | 3,708 | $101K |
| 2022 | 3,685 | $86K |
| 2023 | 2,731 | $61K |
| 2024 | 1,619 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,614 | 5,174 | $311K | |
| 99213 | 2,482 | 1,995 | $91K | |
| 99215 | Prolong outpt/office vis | 621 | 529 | $34K |
| 96372 | 1,227 | 971 | $12K | |
| 0064A | 69 | 69 | $4K | |
| 0012A | 133 | 132 | $4K | |
| 0011A | 138 | 130 | $3K | |
| 90471 | 126 | 123 | $2K | |
| 0124A | 29 | 29 | $1K | |
| 90686 | 115 | 104 | $1K | |
| 90756 | 22 | 20 | $277.37 | |
| J3420 | Vitamin b12 injection | 101 | 87 | $108.78 |
| 90694 | 13 | 13 | $101.25 | |
| 83036 | 12 | 12 | $68.60 | |
| G0008 | Admin influenza virus vac | 64 | 60 | $51.99 |
| 4010F | 114 | 103 | $0.00 | |
| 91301 | 103 | 102 | $0.00 | |
| 3074F | 161 | 144 | $0.00 | |
| 1125F | 28 | 26 | $0.00 | |
| 91306 | 30 | 29 | $0.00 | |
| 3079F | 28 | 26 | $0.00 | |
| 1160F | 2,016 | 1,641 | $0.00 | |
| 1159F | 2,025 | 1,646 | $0.00 | |
| 3078F | 70 | 58 | $0.00 |