NPI: 1104203017 · MORENO VALLEY, CA 92555 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31 | $736.56 |
| 2020 | 1,158 | $0.00 |
| 2022 | 18 | $0.00 |
| 2023 | 7,884 | $5K |
| 2024 | 346 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99234 | 511 | 432 | $3K | |
| 99213 | 1,914 | 1,750 | $824.25 | |
| 83036 | 430 | 423 | $751.52 | |
| 84443 | 224 | 222 | $696.30 | |
| 80061 | 371 | 369 | $666.36 | |
| 80053 | 481 | 470 | $628.23 | |
| 85025 | 208 | 196 | $139.62 | |
| G0463 | Hospital outpt clinic visit | 743 | 635 | $136.46 |
| 85027 | 212 | 209 | $80.55 | |
| 99214 | 297 | 279 | $78.41 | |
| 92250 | 14 | 14 | $42.13 | |
| J3490 | Drugs unclassified injection | 582 | 296 | $39.47 |
| 99212 | 166 | 155 | $18.10 | |
| 80048 | 101 | 94 | $11.70 | |
| 81003 | 29 | 27 | $3.10 | |
| G8510 | Scr dep neg, no plan reqd | 2,138 | 1,916 | $0.00 |
| 3008F | 216 | 209 | $0.00 | |
| 99441 | 34 | 33 | $0.00 | |
| 90471 | 74 | 73 | $0.00 | |
| J2250 | Inj midazolam hydrochloride | 12 | 12 | $0.00 |
| 90686 | 31 | 31 | $0.00 | |
| 86803 | 63 | 62 | $0.00 | |
| 82044 | 14 | 14 | $0.00 | |
| G0439 | Ppps, subseq visit | 63 | 56 | $0.00 |
| J7050 | Normal saline solution infus | 26 | 25 | $0.00 |
| 97139 | 66 | 12 | $0.00 | |
| 88305 | 14 | 13 | $0.00 | |
| 3074F | 14 | 13 | $0.00 | |
| J3010 | Fentanyl citrate injection | 12 | 12 | $0.00 |
| A4306 | Drug delivery system <=50 ml | 50 | 50 | $0.00 |
| 93005 | 39 | 38 | $0.00 | |
| G0438 | Ppps, initial visit | 12 | 12 | $0.00 |
| 99203 | 43 | 43 | $0.00 | |
| 99442 | 61 | 56 | $0.00 | |
| 92134 | 30 | 28 | $0.00 | |
| 87804 | 15 | 15 | $0.00 | |
| 99499 | 50 | 39 | $0.00 | |
| 3078F | 12 | 12 | $0.00 | |
| 99173 | 13 | 13 | $0.00 | |
| 82947 | 25 | 25 | $0.00 | |
| 87811 | 14 | 14 | $0.00 | |
| 84439 | 13 | 13 | $0.00 |