NPI: 1104833383 · COVINA, CA 91723 · 225400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 332 | $4K |
| 2019 | 1,003 | $38K |
| 2020 | 1,333 | $45K |
| 2021 | 922 | $38K |
| 2022 | 1,611 | $64K |
| 2023 | 1,848 | $66K |
| 2024 | 1,387 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,072 | 1,942 | $94K | |
| 99215 | Prolong outpt/office vis | 2,212 | 2,102 | $85K |
| 99213 | 1,475 | 1,385 | $63K | |
| 80305 | 1,943 | 1,921 | $19K | |
| 99204 | 130 | 130 | $10K | |
| 62323 | 42 | 40 | $6K | |
| 77003 | 395 | 390 | $5K | |
| 99205 | Prolong outpt/office vis | 61 | 61 | $4K |
| 99203 | 41 | 40 | $2K | |
| 72275 | 40 | 39 | $880.41 | |
| 36415 | 13 | 13 | $103.67 | |
| A4550 | Surgical trays | 12 | 12 | $0.00 |