NPI: 1760413421 · GOODYEAR, AZ 85395 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,734 | $218K |
| 2019 | 4,632 | $179K |
| 2020 | 3,367 | $154K |
| 2021 | 2,809 | $106K |
| 2022 | 2,390 | $107K |
| 2023 | 2,743 | $178K |
| 2024 | 2,158 | $156K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Ft insert ucb berkeley shell | 1,426 | 695 | $348K |
| 99213 | 5,650 | 5,102 | $209K | |
| 99203 | 3,255 | 3,080 | $195K | |
| 73630 | 5,783 | 4,585 | $130K | |
| 11750 | 665 | 456 | $59K | |
| 99214 | 798 | 749 | $45K | |
| 11721 | 2,976 | 2,911 | $38K | |
| 99204 | 352 | 344 | $29K | |
| 11056 | 1,337 | 1,293 | $23K | |
| 17110 | 221 | 177 | $16K | |
| 99211 | 209 | 208 | $3K | |
| 97597 | 44 | 26 | $1K | |
| 11000 | 29 | 26 | $1K | |
| 99212 | 48 | 46 | $426.05 | |
| 11720 | 15 | 15 | $363.94 | |
| J3301 | Triamcinolone acet inj nos | 12 | 12 | $27.55 |
| J1100 | Dexamethasone sodium phos | 13 | 13 | $1.83 |