NPI: 1922653690 · COOLIDGE, AZ 85128 · 363LP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 4,067 | $137K |
| 2021 | 6,139 | $236K |
| 2022 | 13,631 | $290K |
| 2023 | 17,492 | $365K |
| 2024 | 19,828 | $536K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 16,688 | 13,279 | $995K | |
| 87804 | 7,701 | 6,768 | $98K | |
| 99395 | 860 | 850 | $75K | |
| 17110 | 721 | 712 | $68K | |
| 99396 | 712 | 710 | $64K | |
| 99215 | Prolong outpt/office vis | 569 | 536 | $49K |
| 69210 | 1,087 | 991 | $41K | |
| 99394 | 269 | 266 | $23K | |
| 99204 | 214 | 211 | $19K | |
| 99213 | 496 | 415 | $19K | |
| 99205 | Prolong outpt/office vis | 144 | 136 | $16K |
| 81002 | 4,217 | 3,945 | $12K | |
| 99393 | 150 | 148 | $12K | |
| 94760 | 11,763 | 9,080 | $10K | |
| 95923 | 126 | 118 | $9K | |
| 36415 | 2,786 | 2,673 | $9K | |
| 90460 | 243 | 236 | $7K | |
| 95921 | 124 | 117 | $6K | |
| 93923 | 67 | 64 | $5K | |
| 92551 | 671 | 629 | $5K | |
| 87426 | 363 | 318 | $3K | |
| 87880 | 486 | 430 | $3K | |
| 99423 | 72 | 67 | $3K | |
| 99497 | 67 | 62 | $2K | |
| 99212 | 91 | 85 | $2K | |
| 90471 | 77 | 75 | $2K | |
| 99173 | 720 | 668 | $1K | |
| 99397 | 29 | 26 | $1K | |
| 99000 | 592 | 565 | $913.78 | |
| 36410 | 120 | 101 | $859.06 | |
| 90686 | 56 | 55 | $622.24 | |
| 93000 | 58 | 55 | $531.68 | |
| 96372 | 59 | 41 | $494.94 | |
| 90688 | 37 | 37 | $491.12 | |
| 82962 | 19 | 17 | $34.27 | |
| 3008F | 1,335 | 1,026 | $0.00 | |
| 3075F | 520 | 384 | $0.00 | |
| 3079F | 472 | 353 | $0.00 | |
| 1170F | 1,187 | 898 | $0.00 | |
| 1125F | 1,166 | 910 | $0.00 | |
| 1220F | 948 | 744 | $0.00 | |
| 1101F | 908 | 697 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 30 | 27 | $0.00 |
| 1123F | 13 | 13 | $0.00 | |
| G0439 | Ppps, subseq visit | 14 | 13 | $0.00 |
| 1160F | 1,328 | 1,036 | $0.00 | |
| 1159F | 752 | 580 | $0.00 | |
| 1158F | 14 | 14 | $0.00 | |
| 3078F | 16 | 14 | $0.00 |