NPI: 1801063755 · PHOENIX, AZ 85020 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,131 | $155K |
| 2019 | 4,309 | $124K |
| 2020 | 1,312 | $69K |
| 2021 | 971 | $150K |
| 2022 | 576 | $80K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00813 | 1,654 | 1,567 | $236K | |
| 00731 | 1,379 | 1,317 | $187K | |
| 00811 | 763 | 729 | $93K | |
| 00812 | 477 | 456 | $60K | |
| 00142 | 16 | 13 | $2K | |
| J2704 | Inj, propofol, 10 mg | 391 | 292 | $27.58 |
| A4620 | Variable concentration mask | 242 | 183 | $25.73 |
| A4615 | Cannula nasal | 564 | 418 | $24.17 |
| A4208 | 3 cc sterile syringe&needle | 545 | 414 | $8.54 |
| J2001 | Lidocaine injection | 466 | 361 | $3.63 |
| E1399 | Durable medical equipment mi | 835 | 341 | $0.00 |
| E1354 | Wheeled cart, port cyl/conc | 199 | 136 | $0.00 |
| E0600 | Suction pump portab hom modl | 193 | 135 | $0.00 |
| E0445 | Oximeter non-invasive | 188 | 131 | $0.00 |
| E0485 | Oral device/appliance prefab | 193 | 134 | $0.00 |
| E1353 | Oxygen supplies regulator | 194 | 135 | $0.00 |