NPI: 1083959464 · CHULA VISTA, CA 91911 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,172 | $800K |
| 2019 | 13,442 | $727K |
| 2020 | 8,142 | $445K |
| 2021 | 1,571 | $115K |
| 2022 | 7,640 | $513K |
| 2023 | 14,101 | $911K |
| 2024 | 4,239 | $279K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 28,510 | 23,955 | $3.78M |
| 90834 | 432 | 370 | $7K | |
| 90791 | 12 | 12 | $2K | |
| 99213 | 6,316 | 5,837 | $1K | |
| 93000 | 28 | 28 | $599.20 | |
| 99214 | 5,071 | 4,714 | $429.36 | |
| 87389 | 306 | 306 | $405.20 | |
| 84443 | 817 | 816 | $369.00 | |
| 90471 | 1,416 | 1,406 | $368.92 | |
| 80061 | 949 | 947 | $346.20 | |
| 80053 | 1,120 | 1,109 | $330.84 | |
| 85025 | 959 | 954 | $310.50 | |
| 83036 | 926 | 926 | $222.04 | |
| 98960 | 20 | 16 | $215.20 | |
| 82951 | 16 | 16 | $203.29 | |
| 81002 | 75 | 68 | $161.25 | |
| 99212 | 1,743 | 1,599 | $126.70 | |
| 86592 | 221 | 221 | $86.52 | |
| 81025 | 92 | 92 | $84.66 | |
| 96127 | 443 | 438 | $75.36 | |
| 87210 | 54 | 54 | $65.42 | |
| 87491 | 182 | 182 | $31.17 | |
| 87591 | 182 | 182 | $31.07 | |
| 36415 | 1,035 | 998 | $13.50 | |
| 86803 | 88 | 88 | $12.57 | |
| 85018 | 152 | 152 | $4.14 | |
| 97803 | 1,382 | 1,377 | $0.00 | |
| 99395 | 310 | 306 | $0.00 | |
| 87880 | 158 | 156 | $0.00 | |
| 99396 | 228 | 225 | $0.00 | |
| 99173 | 697 | 696 | $0.00 | |
| 90756 | 326 | 326 | $0.00 | |
| 90461 | 26 | 26 | $0.00 | |
| 83540 | 25 | 25 | $0.00 | |
| 82947 | 21 | 21 | $0.00 | |
| 90472 | 86 | 85 | $0.00 | |
| M0245 | Bamlan and etesev infusion | 12 | 12 | $0.00 |
| 96160 | 24 | 24 | $0.00 | |
| 99394 | 31 | 31 | $0.00 | |
| 86480 | 26 | 26 | $0.00 | |
| 87804 | 81 | 80 | $0.00 | |
| U0003 | Cov-19 amp prb hgh thruput | 25 | 25 | $0.00 |
| 90460 | 134 | 134 | $0.00 | |
| 81003 | 89 | 86 | $0.00 | |
| C1887 | Catheter, guiding | 114 | 114 | $0.00 |
| 99204 | 67 | 67 | $0.00 | |
| M0247 | Sotrovimab infusion | 37 | 37 | $0.00 |
| 99203 | 12 | 12 | $0.00 | |
| 82274 | 17 | 17 | $0.00 | |
| 99404 | 18 | 18 | $0.00 | |
| M0239 | Bamlanivimab-xxxx infusion | 15 | 12 | $0.00 |
| 99401 | 17 | 17 | $0.00 | |
| 87340 | 46 | 46 | $0.00 | |
| 92551 | 481 | 479 | $0.00 | |
| 97802 | 200 | 200 | $0.00 | |
| 90686 | 187 | 187 | $0.00 | |
| 86704 | 110 | 110 | $0.00 | |
| 87086 | 109 | 107 | $0.00 | |
| 94760 | 54 | 50 | $0.00 | |
| 86706 | 131 | 131 | $0.00 | |
| 99000 | 221 | 219 | $0.00 | |
| 82728 | 12 | 12 | $0.00 | |
| 96110 | 20 | 20 | $0.00 | |
| 99406 | 31 | 28 | $0.00 | |
| 81015 | 57 | 57 | $0.00 | |
| 90674 | 154 | 154 | $0.00 | |
| 87428 | 13 | 13 | $0.00 | |
| 81001 | 100 | 99 | $0.00 | |
| M0243 | Casirivi and imdevi inj | 38 | 38 | $0.00 |
| G8510 | Scr dep neg, no plan reqd | 14 | 14 | $0.00 |
| 87070 | 110 | 108 | $0.00 | |
| 83550 | 12 | 12 | $0.00 | |
| 99459 | 12 | 12 | $0.00 | |
| 90677 | 19 | 19 | $0.00 | |
| H0001 | Alcohol and/or drug assess | 33 | 22 | $0.00 |