DR. GANN'S DIET OF HOPE LLC
NPI: 1780943696
· TUCSON, AZ 85704
· Specialist
· NPI assigned 05/11/2012
$1.31M
Total Medicaid Paid
Provider Details
| Authorized Official | PEREZ, LETTY (BILLING) |
| NPI Enumeration Date | 05/11/2012 |
Related Entities
Other providers sharing the same authorized official: PEREZ, LETTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,759 |
$178K |
| 2019 |
6,422 |
$258K |
| 2020 |
5,157 |
$218K |
| 2021 |
5,497 |
$249K |
| 2022 |
4,762 |
$219K |
| 2023 |
2,503 |
$108K |
| 2024 |
1,692 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,996 |
9,875 |
$585K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,558 |
5,676 |
$434K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,685 |
1,623 |
$161K |
| 94690 |
|
2,268 |
2,195 |
$81K |
| 93000 |
|
2,946 |
2,866 |
$35K |
| 91200 |
|
459 |
443 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
1,428 |
1,375 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
89 |
$1K |
| 99072 |
|
361 |
225 |
$0.00 |