NPI: 1083845275 · FAIRFIELD, CA 94533 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,292 | $2.10M |
| 2019 | 34,559 | $1.86M |
| 2020 | 31,576 | $1.94M |
| 2021 | 20,471 | $1.26M |
| 2022 | 14,005 | $753K |
| 2023 | 21,807 | $1.35M |
| 2024 | 16,475 | $1.23M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 60,230 | 54,670 | $10.21M |
| 99214 | 33,524 | 22,239 | $83K | |
| 99213 | 29,938 | 20,503 | $50K | |
| 90832 | 3,198 | 1,616 | $26K | |
| 90791 | 1,207 | 823 | $23K | |
| 90715 | 896 | 656 | $23K | |
| G0467 | Fqhc visit, estab pt | 6,406 | 5,767 | $18K |
| 99215 | Prolong outpt/office vis | 944 | 535 | $10K |
| 99212 | 6,683 | 4,561 | $7K | |
| 90471 | 2,838 | 2,281 | $6K | |
| 90756 | 493 | 346 | $5K | |
| 90674 | 498 | 362 | $5K | |
| 99202 | 1,020 | 759 | $5K | |
| 90686 | 815 | 505 | $4K | |
| 99283 | 8,800 | 8,279 | $4K | |
| 90746 | 51 | 39 | $3K | |
| 99204 | 336 | 200 | $2K | |
| 98927 | 62 | 42 | $1K | |
| 0012A | 32 | 32 | $1K | |
| 99203 | 210 | 124 | $1K | |
| 0011A | 38 | 38 | $995.74 | |
| 90670 | 174 | 96 | $747.00 | |
| 90834 | 448 | 282 | $671.45 | |
| 90698 | 120 | 64 | $531.00 | |
| 90633 | 117 | 66 | $486.00 | |
| 99391 | 143 | 76 | $430.20 | |
| 99205 | Prolong outpt/office vis | 30 | 20 | $423.40 |
| 90661 | 37 | 30 | $374.50 | |
| 90744 | 78 | 43 | $342.00 | |
| 93010 | 25 | 24 | $295.20 | |
| G0470 | Fqhc visit, mh estab pt | 33 | 25 | $242.22 |
| 99392 | 167 | 88 | $231.80 | |
| 86580 | 479 | 455 | $218.40 | |
| 90651 | 49 | 27 | $216.00 | |
| 90710 | 43 | 25 | $198.00 | |
| 99211 | 658 | 443 | $147.48 | |
| 90734 | 26 | 15 | $117.00 | |
| 99393 | 121 | 62 | $108.74 | |
| 90681 | 25 | 13 | $108.00 | |
| 90700 | 25 | 13 | $108.00 | |
| 83655 | 21 | 21 | $105.00 | |
| 99396 | 107 | 106 | $79.22 | |
| 92551 | 246 | 132 | $56.10 | |
| 93005 | 25 | 24 | $16.40 | |
| 88164 | 26 | 26 | $0.00 | |
| 90837 | 53 | 25 | $0.00 | |
| 99394 | 54 | 27 | $0.00 | |
| 99395 | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 420 | 419 | $0.00 |
| 82962 | 37 | 37 | $0.00 | |
| 90688 | 80 | 80 | $0.00 | |
| 88142 | 41 | 41 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 45 | 45 | $0.00 |