PINNACLE PEAK RECOVERY, LLC
NPI: 1922463496
· SCOTTSDALE, AZ 85258
· Substance Abuse Rehabilitation Facility
· NPI assigned 12/28/2015
$781.38
Total Medicaid Paid
Provider Details
| Authorized Official | TISDALE, TYLER (OWNER) |
| NPI Enumeration Date | 12/28/2015 |
Related Entities
Other providers sharing the same authorized official: TISDALE, TYLER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
17 |
$781.38 |
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 |
17 |
12 |
$781.38 |