ARIZONA ASTHMA ALLERGY LEGACY PLC
NPI: 1922762699
· PEORIA, AZ 85381
· 363A00000X
$874K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
1,460 |
$60K |
| 2023 |
9,910 |
$390K |
| 2024 |
9,831 |
$425K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
4,223 |
4,080 |
$256K |
| 95165 |
|
1,487 |
1,298 |
$205K |
| 95004 |
|
914 |
894 |
$129K |
| 99204 |
|
1,188 |
1,182 |
$118K |
| 95117 |
|
11,147 |
4,559 |
$103K |
| 94375 |
|
1,543 |
1,513 |
$43K |
| 99213 |
|
174 |
173 |
$8K |
| J2357 |
Omalizumab injection |
17 |
12 |
$7K |
| 95115 |
|
463 |
180 |
$4K |
| 96372 |
|
33 |
25 |
$899.71 |
| 99203 |
|
12 |
12 |
$876.05 |