NPI: 1962529610 · FLAGSTAFF, AZ 86004 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 86 | $2K |
| 2019 | 231 | $4K |
| 2020 | 184 | $3K |
| 2021 | 3,366 | $94K |
| 2022 | 678 | $26K |
| 2023 | 196 | $6K |
| 2024 | 137 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 667 | 660 | $25K | |
| 0011A | 747 | 739 | $23K | |
| 0071A | 252 | 242 | $20K | |
| 0072A | 151 | 144 | $12K | |
| 0002A | 154 | 152 | $11K | |
| 90460 | 353 | 338 | $9K | |
| 0001A | 133 | 132 | $8K | |
| 0064A | 98 | 94 | $7K | |
| 90471 | 291 | 276 | $6K | |
| 0004A | 76 | 76 | $6K | |
| 90686 | 189 | 174 | $2K | |
| 90480 | 80 | 78 | $2K | |
| 0031A | 44 | 44 | $2K | |
| 91322 | 12 | 12 | $2K | |
| 0111A | 16 | 16 | $1K | |
| 91320 | 13 | 13 | $1K | |
| 99213 | 26 | 24 | $986.75 | |
| 90656 | 13 | 13 | $255.26 | |
| 36415 | 12 | 12 | $26.94 | |
| 91301 | 823 | 790 | $1.90 | |
| 91307 | 321 | 293 | $0.96 | |
| A4215 | Sterile needle | 14 | 14 | $0.65 |
| 91300 | 258 | 245 | $0.46 | |
| 91306 | 52 | 52 | $0.22 | |
| 91311 | 32 | 31 | $0.02 | |
| A6413 | Adhesive bandage, first-aid | 38 | 36 | $0.00 |
| 90734 | 13 | 12 | $0.00 |