Doctor profile · Federal record
Dr. Augustine Prodjinotho
Family Nurse Practitioner · Yuma, AZ
- NPI 1770233355
- MIPS 82.4 / 100 · 2023
- 4 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3910 S Brianna Dr
Yuma, AZ 853651403
(928) 503-6643
Credentials & registration
- NPI registered
- March 2022 — 4 yrs on file
- Profile last updated
- April 22, 2025
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Arizona #259971
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770233355. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
298
Distinct HCPCS
5
Medicare allowed
$19,387
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 115 | 111 | $56 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 76 | 73 | $81 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 47 | 47 | $29 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $74 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $113 |
In context: peer comparison
Among 29 peers in Yuma Family Nurse Practitioner, average services per provider: 1,353. This provider delivers 0.2× the peer median.Open Payments
Industry payments received
All-time total
$380
Transactions
15
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., INC. | 7 | $206.87 | |
| Regeneron Healthcare Solutions, INC. | 3 | $70.13 | |
| Janssen Biotech, INC. | 2 | $37.77 | |
| Intercept Pharmaceuticals, INC. | 1 | $24.33 | |
| Abbvie INC. | 1 | $22.45 | |
| Lucid Diagnostics INC. | 1 | $18.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
303
Patients
241
Total drug cost
$5,602
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 143 | 136 | $2,223 |
| Famotidine | Generic | 41 | 29 | $620 |
| Omeprazole | Generic | 37 | 27 | $850 |
| Pantoprazole Sodium | Generic | 28 | 21 | $1,034 |
| Peg-3350 and Electrolytes (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 28 | 28 | $482 |
| Dicyclomine Hcl | Generic | 15 | 0 | $188 |
| Propranolol Hcl | Generic | 11 | 0 | $205 |
Frequently asked questions
What is Dr. Augustine Prodjinotho's medical specialty?
Dr. Augustine Prodjinotho practices Family Nurse Practitioner in Yuma, AZ.
Where does Dr. Augustine Prodjinotho practice?
Dr. Augustine Prodjinotho practices at 3910 S Brianna Dr, Yuma, AZ 853651403. Office phone: 9285036643.
What is Dr. Augustine Prodjinotho's NPI?
Dr. Augustine Prodjinotho's National Provider Identifier (NPI) is 1770233355, issued by NPPES.
What procedures does Dr. Augustine Prodjinotho commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.