EQUALITY MEDICAL GROUP LLC
NPI: 1770148322
· PHOENIX, AZ 85037
· Clinic/Center
· NPI assigned 05/08/2019
Provider Details
| Authorized Official | MATA-ESPINOZA, ROSE (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 05/08/2019 |
Related Entities
Other providers sharing the same authorized official: MATA-ESPINOZA, ROSE
| Provider | City | State | Total Paid |
|---|
| SAG, LLC |
PHOENIX |
AZ |
$1.03M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
27 |
$305.53 |
| 2020 |
285 |
$8K |
| 2021 |
177 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
179 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$2K |
| 90674 |
|
38 |
25 |
$629.87 |
| 99423 |
|
13 |
13 |
$523.08 |
| 99442 |
|
13 |
13 |
$486.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
25 |
$435.58 |
| 96160 |
|
107 |
82 |
$222.44 |
| 96127 |
|
15 |
14 |
$67.44 |
| 81003 |
|
22 |
13 |
$25.22 |