NPI: 1124072103 · THOUSAND OAKS, CA 91360 · 273Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,675 | $120K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 347 | 337 | $100K | |
| 96361 | 29 | 29 | $9K | |
| 96374 | 26 | 25 | $7K | |
| 96372 | 14 | 12 | $4K | |
| J2405 | Ondansetron hcl injection | 59 | 57 | $71.89 |
| 80053 | 126 | 119 | $65.28 | |
| 93005 | 53 | 53 | $51.76 | |
| J7030 | Normal saline solution infus | 62 | 60 | $50.72 |
| 85027 | 134 | 127 | $50.30 | |
| J1885 | Ketorolac tromethamine inj | 47 | 31 | $39.68 |
| 81001 | 55 | 54 | $14.64 | |
| J0696 | Ceftriaxone sodium injection | 15 | 13 | $13.32 |
| 76705 | 19 | 19 | $0.00 | |
| 70450 | 12 | 12 | $0.00 | |
| A4649 | Surgical supplies | 305 | 145 | $0.00 |
| 87633 | 17 | 17 | $0.00 | |
| 87798 | 17 | 17 | $0.00 | |
| 85610 | 30 | 29 | $0.00 | |
| 80307 | 13 | 13 | $0.00 | |
| 74176 | 13 | 13 | $0.00 | |
| 84703 | 34 | 33 | $0.00 | |
| 84484 | 29 | 29 | $0.00 | |
| 87430 | 12 | 12 | $0.00 | |
| 87486 | 17 | 17 | $0.00 | |
| 82077 | 12 | 12 | $0.00 | |
| 83735 | 26 | 26 | $0.00 | |
| 83880 | 31 | 30 | $0.00 | |
| 71045 | 59 | 58 | $0.00 | |
| 83690 | 45 | 43 | $0.00 | |
| 87581 | 17 | 17 | $0.00 |