NPI: 1932146768 · GLENDALE, AZ 85306 · 111N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,511 | $241K |
| 2019 | 2,903 | $118K |
| 2020 | 2,525 | $115K |
| 2021 | 2,574 | $147K |
| 2022 | 2,383 | $138K |
| 2023 | 2,146 | $101K |
| 2024 | 1,422 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 15,855 | 13,454 | $848K | |
| 99213 | 938 | 851 | $42K | |
| 64635 | 78 | 55 | $9K | |
| 99203 | 133 | 123 | $8K | |
| 99396 | 62 | 60 | $6K | |
| 99395 | 48 | 46 | $4K | |
| 87426 | 118 | 111 | $4K | |
| 96372 | 213 | 161 | $3K | |
| 98941 | 86 | 42 | $2K | |
| 97110 | 97 | 42 | $2K | |
| 64636 | 17 | 14 | $1K | |
| 97140 | 98 | 40 | $1K | |
| 90471 | 50 | 49 | $880.83 | |
| 87811 | 20 | 19 | $732.83 | |
| 90688 | 51 | 50 | $661.94 | |
| 0011A | 26 | 24 | $660.40 | |
| 97012 | 74 | 29 | $523.79 | |
| 0012A | 14 | 14 | $520.80 | |
| 99490 | Ccm add 20min | 42 | 42 | $375.04 |
| J1885 | Ketorolac tromethamine inj | 195 | 149 | $231.75 |
| 93000 | 15 | 13 | $199.80 | |
| 36415 | 69 | 65 | $151.11 | |
| 80305 | 578 | 482 | $23.49 | |
| Q9962 | Hocm 300-349mg/ml iodine,1ml | 407 | 235 | $2.78 |
| J1100 | Dexamethasone sodium phos | 85 | 53 | $0.13 |
| 81003 | 14 | 13 | $0.00 | |
| 3078F | 40 | 29 | $0.00 | |
| 3074F | 41 | 30 | $0.00 |