NPI: 1871040436 · SAN LUIS, AZ 85349 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,807 | $109K |
| 2019 | 3,503 | $184K |
| 2020 | 2,887 | $154K |
| 2021 | 3,050 | $193K |
| 2022 | 3,533 | $234K |
| 2023 | 383 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76856 | 1,295 | 1,257 | $117K | |
| 76700 | 1,126 | 1,089 | $111K | |
| 76830 | 957 | 930 | $94K | |
| 71046 | 3,665 | 3,554 | $88K | |
| 77067 | 555 | 545 | $65K | |
| 76805 | 483 | 472 | $59K | |
| 76641 | 495 | 464 | $52K | |
| 76801 | 294 | 279 | $34K | |
| 77063 | 561 | 547 | $26K | |
| 76816 | 176 | 167 | $19K | |
| 76817 | 175 | 158 | $16K | |
| 73630 | 668 | 637 | $16K | |
| 72100 | 517 | 509 | $16K | |
| 73030 | 618 | 597 | $15K | |
| 76815 | 179 | 168 | $13K | |
| 73562 | 506 | 479 | $13K | |
| 73130 | 498 | 481 | $13K | |
| 76536 | 134 | 130 | $13K | |
| 76819 | 145 | 84 | $13K | |
| 73560 | 412 | 396 | $13K | |
| 76705 | 157 | 154 | $12K | |
| 74019 | 316 | 312 | $10K | |
| 72114 | 198 | 187 | $9K | |
| 73610 | 298 | 286 | $7K | |
| 72040 | 192 | 189 | $6K | |
| 72110 | 147 | 143 | $6K | |
| 74021 | 210 | 192 | $6K | |
| 76770 | 46 | 46 | $5K | |
| 73620 | 184 | 179 | $5K | |
| 73600 | 150 | 149 | $4K | |
| 73110 | 150 | 147 | $4K | |
| 77080 | 129 | 123 | $4K | |
| 72050 | 105 | 99 | $3K | |
| 74018 | 134 | 126 | $3K | |
| 76811 | 15 | 15 | $2K | |
| 72070 | 90 | 87 | $2K | |
| 77065 | Tomosynthesis, mammo | 13 | 13 | $2K |
| 73590 | 40 | 39 | $1K | |
| 73140 | 46 | 44 | $898.96 | |
| 76881 | 13 | 12 | $787.23 | |
| 72072 | 21 | 19 | $579.54 | |
| 73502 | 13 | 13 | $464.59 | |
| 73120 | 13 | 13 | $369.60 | |
| 73100 | 12 | 12 | $334.30 | |
| 73090 | 12 | 12 | $277.27 |