NPI: 1104274596 · HACIENDA HEIGHTS, CA 91745 · 171M00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,904 | $371K |
| 2019 | 6,504 | $410K |
| 2020 | 9,615 | $494K |
| 2021 | 11,918 | $497K |
| 2022 | 10,829 | $523K |
| 2023 | 14,086 | $795K |
| 2024 | 15,040 | $757K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 26,707 | 20,642 | $3.63M |
| 00003 | 1,124 | 1,124 | $196K | |
| 98940 | 3,408 | 2,387 | $17K | |
| 0012A | 173 | 126 | $3K | |
| 0064A | 80 | 59 | $2K | |
| 0071A | 23 | 13 | $940.00 | |
| 0011A | 143 | 131 | $750.00 | |
| G0108 | Diab manage trn per indiv | 14 | 14 | $633.92 |
| 99213 | 8,226 | 7,475 | $560.09 | |
| 99214 | 1,031 | 1,003 | $516.53 | |
| 96110 | 476 | 471 | $220.00 | |
| 0072A | 13 | 12 | $107.00 | |
| 90460 | 896 | 867 | $62.09 | |
| 90648 | 94 | 93 | $9.00 | |
| 90723 | 41 | 40 | $9.00 | |
| 99173 | 1,590 | 1,583 | $3.63 | |
| 83036 | 281 | 281 | $3.51 | |
| G8510 | Scr dep neg, no plan reqd | 1,240 | 1,191 | $0.02 |
| 90655 | 45 | 45 | $0.00 | |
| 3078F | 1,589 | 1,522 | $0.00 | |
| 1160F | 3,726 | 3,305 | $0.00 | |
| 99392 | 231 | 229 | $0.00 | |
| 82948 | 373 | 340 | $0.00 | |
| 99211 | 317 | 301 | $0.00 | |
| 99212 | 4,077 | 3,676 | $0.00 | |
| 99203 | 137 | 136 | $0.00 | |
| 3077F | 12 | 12 | $0.00 | |
| 99408 | 734 | 712 | $0.00 | |
| 90472 | 409 | 399 | $0.00 | |
| 81002 | 71 | 63 | $0.00 | |
| 90658 | 436 | 434 | $0.00 | |
| 99394 | 45 | 45 | $0.00 | |
| 99393 | 67 | 66 | $0.00 | |
| 1159F | 3,869 | 3,446 | $0.00 | |
| 90461 | 435 | 428 | $0.00 | |
| 99395 | 68 | 68 | $0.00 | |
| PROP5 | 15 | 13 | $0.00 | |
| 90670 | 24 | 24 | $0.00 | |
| 90707 | 12 | 12 | $0.00 | |
| G2012 | Brief check in by md/qhp | 218 | 193 | $0.00 |
| 90700 | 61 | 61 | $0.00 | |
| 99396 | 71 | 71 | $0.00 | |
| D0190 | 96 | 96 | $0.00 | |
| 99391 | 53 | 53 | $0.00 | |
| 2022F | 16 | 16 | $0.00 | |
| 0502F | 15 | 12 | $0.00 | |
| 90633 | 26 | 26 | $0.00 | |
| 2028F | 12 | 12 | $0.00 | |
| 90713 | 30 | 30 | $0.00 | |
| 82274 | 40 | 40 | $0.00 | |
| 99204 | 12 | 12 | $0.00 | |
| 90715 | 26 | 26 | $0.00 | |
| D9993 | 27 | 27 | $0.00 | |
| Z6400 | 13 | 13 | $0.00 | |
| 90685 | 27 | 27 | $0.00 | |
| 96160 | 23 | 23 | $0.00 | |
| 3044F | 144 | 141 | $0.00 | |
| 3074F | 1,552 | 1,481 | $0.00 | |
| 90471 | 1,624 | 1,585 | $0.00 | |
| 1126F | 812 | 789 | $0.00 | |
| 99202 | 554 | 552 | $0.00 | |
| 85018 | 82 | 82 | $0.00 | |
| 3079F | 780 | 752 | $0.00 | |
| 3075F | 672 | 653 | $0.00 | |
| 90686 | 131 | 130 | $0.00 | |
| 1125F | 199 | 189 | $0.00 | |
| 90660 | 12 | 12 | $0.00 | |
| H0002 | Alcohol and/or drug screenin | 20 | 20 | $0.00 |
| 92551 | 418 | 413 | $0.00 | |
| 1170F | 32 | 29 | $0.00 | |
| Z6410 | 149 | 126 | $0.00 | |
| 90716 | 13 | 13 | $0.00 | |
| 87635 | 63 | 62 | $0.00 | |
| Z1034 | 62 | 50 | $0.00 | |
| 90677 | 69 | 66 | $0.00 | |
| 91301 | 112 | 109 | $0.00 | |
| D1206 | 117 | 117 | $0.00 | |
| D1330 | 27 | 27 | $0.00 | |
| 88142 | 15 | 15 | $0.00 | |
| 90656 | 48 | 48 | $0.00 | |
| 36415 | 48 | 41 | $0.00 | |
| 98941 | 20 | 16 | $0.00 | |
| 86580 | 43 | 42 | $0.00 | |
| 3061F | 12 | 12 | $0.00 | |
| 90651 | 21 | 21 | $0.00 | |
| D1310 | 27 | 27 | $0.00 |