CISCO MEDICAL GROUP, INC
NPI: 1053408989
· RESEDA, CA 91335
· Internal Medicine Physician
· NPI assigned 10/10/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$0.00 |
| 2021 |
36 |
$0.00 |
| 2022 |
86 |
$6K |
| 2023 |
302 |
$24K |
| 2024 |
59 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99397 |
|
105 |
104 |
$16K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
105 |
105 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
42 |
$2K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
135 |
133 |
$2K |
| 99441 |
|
13 |
13 |
$845.00 |
| 90649 |
|
19 |
19 |
$0.00 |
| 3078F |
|
55 |
53 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$0.00 |