NPI: 1003140922 · SAN JUAN CAPISTRANO, CA 92675 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 209 | $2K |
| 2019 | 515 | $23K |
| 2020 | 120 | $4K |
| 2021 | 14 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 140 | 139 | $8K |
| 99215 | Prolong outpt/office vis | 121 | 107 | $8K |
| 99214 | 103 | 95 | $5K | |
| 94664 | 291 | 273 | $3K | |
| 94618 | 53 | 53 | $1K | |
| 94375 | 41 | 41 | $970.09 | |
| 99358 | Prolong nursin fac eval 15m | 15 | 13 | $929.25 |
| 94726 | 13 | 12 | $813.50 | |
| 94729 | 12 | 12 | $797.36 | |
| 94060 | 12 | 12 | $733.36 | |
| 99406 | 31 | 30 | $427.16 | |
| 94016 | 26 | 26 | $140.88 |