BANNER URGENT CARE ARIZONA LLC
NPI: 1750665980
· SURPRISE, AZ 85374
· 261QU0200X
$10.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,061 |
$914K |
| 2019 |
10,560 |
$986K |
| 2020 |
16,522 |
$1.37M |
| 2021 |
23,763 |
$2.31M |
| 2022 |
21,507 |
$2.05M |
| 2023 |
17,720 |
$1.73M |
| 2024 |
11,765 |
$1.25M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
57,186 |
54,051 |
$6.10M |
| 99203 |
|
22,702 |
21,758 |
$2.30M |
| 99214 |
|
12,314 |
11,650 |
$1.27M |
| 99212 |
|
3,217 |
3,105 |
$365K |
| 99202 |
|
2,501 |
2,403 |
$264K |
| 99211 |
|
3,121 |
2,928 |
$249K |
| 99204 |
|
310 |
304 |
$36K |
| 87880 |
|
2,329 |
2,272 |
$7K |
| 93000 |
|
690 |
649 |
$5K |
| 96372 |
|
1,450 |
1,268 |
$4K |
| 36415 |
|
1,225 |
1,126 |
$4K |
| 87804 |
|
541 |
389 |
$1K |
| 99001 |
|
324 |
302 |
$791.07 |
| 99000 |
|
2,809 |
2,649 |
$472.41 |
| 81003 |
|
1,050 |
1,017 |
$315.02 |
| J1885 |
Ketorolac tromethamine inj |
51 |
49 |
$147.74 |
| 81002 |
|
776 |
671 |
$73.22 |
| 81025 |
|
222 |
206 |
$50.73 |
| J1100 |
Dexamethasone sodium phos |
16 |
12 |
$2.02 |
| 94640 |
|
49 |
44 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
15 |
15 |
$0.00 |