NPI: 1023516176 · MANTECA, CA 95336 · 207RG0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,331 | $254K |
| 2019 | 2,286 | $415K |
| 2020 | 2,032 | $313K |
| 2021 | 2,406 | $426K |
| 2022 | 2,620 | $479K |
| 2023 | 3,470 | $711K |
| 2024 | 3,023 | $706K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 45378 | 1,823 | 1,814 | $773K | |
| 43239 | 2,557 | 2,547 | $663K | |
| 45385 | 1,117 | 1,115 | $635K | |
| 99204 | 4,954 | 4,949 | $513K | |
| 45380 | 717 | 716 | $338K | |
| 99214 | 5,103 | 4,990 | $291K | |
| 99223 | Prolong inpt eval add15 m | 608 | 598 | $67K |
| 99215 | Prolong outpt/office vis | 217 | 211 | $19K |
| 99205 | Prolong outpt/office vis | 55 | 55 | $7K |
| 99153 | Mod sedat endo service >5yrs | 17 | 17 | $257.38 |