NPI: 1104349927 · SACRAMENTO, CA 95820 · 261QP2000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,485 | $427.52 |
| 2022 | 12,347 | $0.00 |
| 2023 | 1,422 | $0.00 |
| 2024 | 4,753 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97530 | 1,694 | 897 | $5K | |
| 97112 | 4,889 | 2,473 | $5K | |
| 97110 | 5,205 | 2,669 | $3K | |
| 97162 | 915 | 910 | $2K | |
| 97750 | 4,600 | 1,575 | $560.00 | |
| 97140 | 734 | 431 | $140.00 | |
| A9300 | Exercise equipment | 253 | 157 | $90.00 |
| 97164 | 88 | 87 | $0.00 | |
| A4927 | Non-sterile gloves | 235 | 146 | $0.00 |
| 97116 | 283 | 269 | $0.00 | |
| 97161 | 60 | 60 | $0.00 | |
| A6025 | Silicone gel sheet, each | 13 | 13 | $0.00 |
| 97014 | 191 | 92 | $0.00 | |
| 97010 | 847 | 416 | $0.00 |