NPI: 1770753162 · SAN LUIS, AZ 85349 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,299 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,442 | 1,024 | $70K | |
| 99213 | 295 | 224 | $7K | |
| 99211 | 606 | 516 | $5K | |
| 99215 | Prolong outpt/office vis | 43 | 40 | $3K |
| 99394 | 29 | 29 | $2K | |
| 36415 | 736 | 609 | $1K | |
| 99396 | 44 | 41 | $835.83 | |
| 99395 | 13 | 12 | $696.96 | |
| 93922 | 56 | 53 | $634.02 | |
| 93000 | 60 | 56 | $482.98 | |
| 1170F | 50 | 42 | $0.00 | |
| 1126F | 112 | 93 | $0.00 | |
| 1125F | 122 | 93 | $0.00 | |
| 3044F | 34 | 34 | $0.00 | |
| 1160F | 1,338 | 786 | $0.00 | |
| 1159F | 1,319 | 785 | $0.00 |