NPI: 1093992844 · SAN JOSE, CA 95131 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,709 | $1.70M |
| 2019 | 2,695 | $687K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00003 | 5,935 | 4,892 | $1.51M | |
| T1015 | Clinic service | 4,600 | 4,186 | $849K |
| 99394 | 227 | 215 | $9K | |
| 99392 | 296 | 259 | $8K | |
| 99393 | 274 | 266 | $8K | |
| 92551 | 760 | 730 | $5K | |
| 99213 | 1,433 | 1,161 | $3K | |
| 99212 | 566 | 510 | $1K | |
| 90471 | 324 | 320 | $749.95 | |
| 90472 | 76 | 75 | $209.64 | |
| 99173 | 352 | 347 | $173.62 | |
| 99214 | 26 | 26 | $67.34 | |
| 90633 | 30 | 27 | $38.23 | |
| 90686 | 397 | 370 | $9.92 | |
| 90651 | 96 | 94 | $0.00 | |
| 90734 | 12 | 12 | $0.00 |