NPI: 1790057123 · SIERRA VISTA, AZ 85635 · 207RH0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 225 | $4K |
| 2020 | 14 | $217.46 |
| 2021 | 110 | $96.47 |
| 2022 | 1,543 | $45K |
| 2023 | 492 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 789 | 656 | $30K | |
| 96365 | 379 | 162 | $18K | |
| 96367 | 296 | 137 | $7K | |
| J3490 | Drugs unclassified injection | 359 | 127 | $4K |
| 99215 | Prolong outpt/office vis | 75 | 69 | $4K |
| 96372 | 126 | 59 | $1K | |
| J2916 | Na ferric gluconate complex | 92 | 38 | $1K |
| 99213 | 16 | 15 | $320.70 | |
| J1200 | Diphenhydramine hcl injectio | 252 | 115 | $171.49 |