PONDEROSA FAMILY CARE, LLC
NPI: 1992321723
· PAYSON, AZ 85541
· 261QR1300X
$2.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
266 |
$48K |
| 2022 |
3,544 |
$445K |
| 2023 |
5,753 |
$758K |
| 2024 |
6,900 |
$879K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
10,185 |
7,435 |
$2.13M |
| 99214 |
|
3,958 |
3,019 |
$1K |
| 99213 |
|
1,152 |
974 |
$209.38 |
| 90837 |
|
100 |
66 |
$107.44 |
| 99215 |
Prolong outpt/office vis |
89 |
71 |
$61.60 |
| 90791 |
|
37 |
30 |
$55.41 |
| 90471 |
|
298 |
268 |
$0.00 |
| 96372 |
|
50 |
48 |
$0.00 |
| 90834 |
|
43 |
27 |
$0.00 |
| 90832 |
|
90 |
69 |
$0.00 |
| 99391 |
|
337 |
268 |
$0.00 |
| 90833 |
|
50 |
41 |
$0.00 |
| 90472 |
|
74 |
74 |
$0.00 |