NPI: 1114112372 · VICTORVILLE, CA 92395 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24,718 | $864K |
| 2019 | 13,549 | $56K |
| 2020 | 11,538 | $117K |
| 2021 | 11,277 | $119K |
| 2022 | 12,355 | $169K |
| 2023 | 11,945 | $683K |
| 2024 | 3,579 | $229K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 72148 | 3,472 | 2,997 | $297K | |
| 73721 | 2,910 | 2,238 | $205K | |
| 77067 | 5,511 | 5,345 | $174K | |
| 77063 | 1,947 | 1,946 | $120K | |
| 76856 | 6,187 | 6,151 | $118K | |
| 76700 | 5,996 | 5,971 | $116K | |
| 71046 | 14,165 | 14,017 | $109K | |
| 70553 | 778 | 580 | $107K | |
| 76830 | 5,385 | 5,362 | $103K | |
| 72141 | 959 | 785 | $89K | |
| 70551 | 820 | 696 | $57K | |
| 73221 | 743 | 545 | $56K | |
| 71250 | 649 | 633 | $52K | |
| 76705 | 2,380 | 2,361 | $44K | |
| 72110 | 3,106 | 3,073 | $41K | |
| 74177 | 251 | 245 | $39K | |
| 76536 | 2,574 | 2,550 | $38K | |
| 74176 | 269 | 266 | $37K | |
| 70450 | 270 | 266 | $31K | |
| 74178 | 152 | 152 | $30K | |
| 78815 | 48 | 46 | $29K | |
| 76770 | 1,276 | 1,265 | $29K | |
| 73562 | 4,510 | 3,391 | $27K | |
| 73630 | 3,550 | 2,648 | $26K | |
| 76805 | 909 | 905 | $23K | |
| 76641 | 227 | 188 | $21K | |
| 73030 | 2,538 | 2,132 | $19K | |
| 71260 | 109 | 107 | $19K | |
| 93970 | 277 | 275 | $18K | |
| 72050 | 1,510 | 1,497 | $18K | |
| 74246 | 412 | 407 | $16K | |
| 73130 | 1,970 | 1,485 | $14K | |
| 76642 | 1,273 | 1,208 | $13K | |
| A9575 | Inj gadoterate meglumi 0.1ml | 1,725 | 1,642 | $13K |
| 73110 | 1,490 | 1,203 | $11K | |
| 73610 | 1,543 | 1,308 | $10K | |
| 76775 | 330 | 325 | $6K | |
| 72100 | 775 | 770 | $6K | |
| 72070 | 848 | 834 | $6K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 2,851 | 2,812 | $5K |
| 74018 | 432 | 423 | $4K | |
| 93971 | 128 | 127 | $4K | |
| 93880 | 75 | 74 | $4K | |
| 73502 | 337 | 329 | $4K | |
| 93925 | 63 | 62 | $4K | |
| 70544 | 24 | 12 | $3K | |
| 74183 | 12 | 12 | $3K | |
| 71020 | 109 | 104 | $3K | |
| 76870 | 80 | 77 | $2K | |
| 73080 | 183 | 168 | $2K | |
| 77066 | Tomosynthesis, mammo | 74 | 74 | $2K |
| 76882 | 208 | 191 | $2K | |
| 72146 | 26 | 13 | $2K | |
| 73564 | 88 | 71 | $2K | |
| 73590 | 83 | 75 | $843.37 | |
| 73522 | 65 | 64 | $786.89 | |
| A9552 | F18 fdg | 32 | 30 | $370.68 |
| 73140 | 48 | 46 | $246.88 | |
| 76857 | 13 | 13 | $210.99 | |
| 74019 | 13 | 13 | $150.87 | |
| 70220 | 13 | 13 | $110.38 | |
| 76801 | 54 | 52 | $78.42 | |
| 73090 | 14 | 14 | $61.71 | |
| 77080 | 13 | 13 | $37.77 | |
| 72082 | 12 | 12 | $0.00 | |
| 76817 | 28 | 26 | $0.00 | |
| 71045 | 15 | 15 | $0.00 | |
| 77065 | Tomosynthesis, mammo | 12 | 12 | $0.00 |
| 93976 | 12 | 12 | $0.00 |