NPI: 1114928595 · PACOIMA, CA 91331 · 171M00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 41,871 | $4.01M |
| 2019 | 46,114 | $4.13M |
| 2020 | 39,708 | $3.81M |
| 2021 | 49,633 | $4.87M |
| 2022 | 30,388 | $3.44M |
| 2023 | 36,164 | $4.83M |
| 2024 | 32,746 | $4.87M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 200,680 | 181,671 | $24.91M |
| 00003 | 15,944 | 15,757 | $3.19M | |
| G9008 | Mccd,phys coor-care ovrsght | 3,047 | 1,653 | $187K |
| 0011A | 2,541 | 2,518 | $169K | |
| 99393 | 3,475 | 3,472 | $151K | |
| 99394 | 2,699 | 2,695 | $142K | |
| 99392 | 3,554 | 3,549 | $134K | |
| 0002A | 1,937 | 1,754 | $123K | |
| 0001A | 1,660 | 1,484 | $105K | |
| G9012 | Other specified case mgmt | 1,515 | 937 | $96K |
| 99391 | 2,541 | 2,534 | $90K | |
| 0012A | 1,304 | 1,248 | $85K | |
| 0064A | 967 | 966 | $64K | |
| 90832 | 1,782 | 1,550 | $61K | |
| 96110 | 1,070 | 1,063 | $60K | |
| 0072A | 715 | 714 | $47K | |
| 90791 | 411 | 399 | $45K | |
| 0071A | 676 | 676 | $45K | |
| 92551 | 4,511 | 4,502 | $44K | |
| 90834 | 623 | 543 | $31K | |
| G0467 | Fqhc visit, estab pt | 1,001 | 897 | $30K |
| 0004A | 348 | 348 | $23K | |
| G9920 | Scrning perf and negative | 484 | 482 | $14K |
| 0054A | 199 | 199 | $13K | |
| 0519 | 108 | 103 | $12K | |
| 99213 | 683 | 662 | $10K | |
| 0013A | 131 | 131 | $9K | |
| 0124A | 105 | 105 | $7K | |
| 92552 | 504 | 504 | $5K | |
| 90460 | 608 | 602 | $5K | |
| 85018 | 1,910 | 1,906 | $4K | |
| 0134A | 48 | 48 | $3K | |
| 83655 | 693 | 689 | $3K | |
| 0074A | 36 | 36 | $2K | |
| 87491 | 89 | 89 | $2K | |
| 0003A | 28 | 28 | $2K | |
| G2025 | Dis site tele svcs rhc/fqhc | 92 | 84 | $2K |
| 0052A | 27 | 27 | $2K | |
| 0051A | 19 | 19 | $1K | |
| 99173 | 340 | 340 | $969.76 | |
| 0031A | 13 | 13 | $871.00 | |
| 0154A | 13 | 13 | $871.00 | |
| 90480 | 21 | 20 | $843.56 | |
| 80061 | 168 | 167 | $783.54 | |
| 0111A | 12 | 12 | $653.25 | |
| 87389 | 66 | 66 | $587.25 | |
| 99214 | 253 | 242 | $500.53 | |
| J3490 | Drugs unclassified injection | 14 | 14 | $223.02 |
| 90471 | 4,502 | 4,494 | $153.30 | |
| 82465 | 126 | 126 | $125.70 | |
| 92081 | 243 | 243 | $100.00 | |
| T1003 | Lpn/lvn services up to 15min | 34 | 32 | $99.48 |
| 86592 | 25 | 25 | $35.72 | |
| 90472 | 2,369 | 2,361 | $19.32 | |
| 90461 | 18 | 12 | $16.16 | |
| 90473 | 348 | 348 | $15.17 | |
| 90697 | 83 | 83 | $9.00 | |
| 90734 | 628 | 626 | $9.00 | |
| 90680 | 395 | 395 | $0.00 | |
| 90698 | 1,000 | 1,000 | $0.00 | |
| 90744 | 539 | 539 | $0.00 | |
| 90686 | 1,515 | 1,512 | $0.00 | |
| 85032 | 26 | 26 | $0.00 | |
| 90657 | 19 | 19 | $0.00 | |
| 90651 | 333 | 333 | $0.00 | |
| 90716 | 266 | 265 | $0.00 | |
| 1126F | 443 | 441 | $0.00 | |
| 90696 | 162 | 162 | $0.00 | |
| 1170F | 39 | 39 | $0.00 | |
| 97802 | 52 | 52 | $0.00 | |
| 3074F | 52 | 52 | $0.00 | |
| D0120 | 52 | 52 | $0.00 | |
| 36415 | 12 | 12 | $0.00 | |
| 90688 | 77 | 77 | $0.00 | |
| 99172 | 23 | 23 | $0.00 | |
| 90670 | 1,629 | 1,628 | $0.00 | |
| 90707 | 245 | 244 | $0.00 | |
| 3078F | 113 | 113 | $0.00 | |
| 90700 | 143 | 143 | $0.00 | |
| 90681 | 210 | 210 | $0.00 | |
| 90715 | 210 | 209 | $0.00 | |
| 90648 | 58 | 58 | $0.00 | |
| 1159F | 212 | 208 | $0.00 | |
| 90710 | 152 | 152 | $0.00 | |
| 90633 | 541 | 539 | $0.00 | |
| 1160F | 12 | 12 | $0.00 | |
| 99401 | 53 | 53 | $0.00 |