CANYON FAMILY MEDICINE PLLC
NPI: 1780349902
· MESA, AZ 85206
· Primary Care Clinic/Center
· NPI assigned 11/02/2021
$132K
Total Medicaid Paid
Provider Details
| Authorized Official | HAFEZ, LAURA (FOUNDER) |
| NPI Enumeration Date | 11/02/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
30 |
$3K |
| 2023 |
1,667 |
$55K |
| 2024 |
2,588 |
$75K |
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 |
1,077 |
950 |
$78K |
| 99215 |
Prolong outpt/office vis |
370 |
330 |
$34K |
| 99401 |
|
305 |
268 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
82 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
337 |
324 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 96127 |
|
190 |
182 |
$699.62 |
| 1160F |
|
603 |
527 |
$1.62 |
| 1159F |
|
601 |
522 |
$1.02 |
| 1125F |
|
333 |
301 |
$0.52 |
| 3074F |
|
186 |
172 |
$0.23 |
| 1126F |
|
66 |
61 |
$0.15 |
| 3079F |
|
60 |
55 |
$0.07 |
| 3078F |
|
28 |
25 |
$0.05 |
| 3044F |
|
32 |
27 |
$0.04 |