NPI: 1053881003 · LA MESA, CA 91941 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 123 | $4K |
| 2019 | 1,335 | $24K |
| 2020 | 924 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99336 | 1,313 | 1,061 | $37K | |
| 99491 | Ccm add 20min | 348 | 347 | $3K |
| G0179 | Md recertification hha pt | 240 | 238 | $1K |
| 99490 | Ccm add 20min | 198 | 198 | $991.38 |
| 99349 | 16 | 13 | $766.82 | |
| 99453 | 59 | 57 | $461.05 | |
| 96372 | 105 | 95 | $255.91 | |
| 90674 | 24 | 24 | $28.22 | |
| 90694 | 28 | 27 | $0.00 | |
| 87635 | 36 | 35 | $0.00 | |
| J3420 | Vitamin b12 injection | 15 | 14 | $0.00 |