PEBBLE CREEK MEDICAL GROUP PLLC
NPI: 1790213064
· GOODYEAR, AZ 85338
· Internal Medicine Physician
· NPI assigned 05/31/2017
$244K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
370 |
$12K |
| 2020 |
2,732 |
$65K |
| 2021 |
2,282 |
$75K |
| 2022 |
1,157 |
$46K |
| 2023 |
925 |
$33K |
| 2024 |
354 |
$13K |
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 |
3,191 |
2,733 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
600 |
539 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
109 |
$3K |
| 90686 |
|
115 |
102 |
$2K |
| 90658 |
|
14 |
13 |
$46.36 |
| 99499 |
|
3,789 |
1,941 |
$12.15 |