IMPACT CARE ACCESS NETWORK II
NPI: 1073003000
· HESPERIA, CA 92345
· Family Medicine Physician
· NPI assigned 05/15/2018
$85.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
113 |
$0.00 |
| 2023 |
656 |
$85.00 |
| 2024 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$85.00 |
| 4004F |
|
70 |
66 |
$0.00 |
| S9083 |
Global fee urgent care centers |
31 |
30 |
$0.00 |
| 1159F |
|
72 |
66 |
$0.00 |
| 1160F |
|
56 |
51 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |
| 1220F |
|
51 |
47 |
$0.00 |
| 3008F |
|
112 |
106 |
$0.00 |
| 1111F |
|
68 |
64 |
$0.00 |
| 94760 |
|
69 |
65 |
$0.00 |
| 1126F |
|
62 |
58 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
32 |
$0.00 |
| 2010F |
|
70 |
65 |
$0.00 |
| 3074F |
|
27 |
27 |
$0.00 |