NPI: 1124361258 · LIVINGSTON, CA 95334 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 158 | $112.26 |
| 2019 | 1,529 | $98.66 |
| 2020 | 1,798 | $0.00 |
| 2021 | 1,508 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J3490 | Drugs unclassified injection | 884 | 701 | $110.78 |
| 87491 | 779 | 775 | $31.17 | |
| 87591 | 795 | 778 | $31.07 | |
| 99211 | 974 | 921 | $22.91 | |
| A4267 | Male condom | 614 | 611 | $14.99 |
| 76815 | 13 | 12 | $0.00 | |
| 99202 | 64 | 64 | $0.00 | |
| 99000 | 112 | 108 | $0.00 | |
| 99213 | 41 | 40 | $0.00 | |
| 81025 | 586 | 578 | $0.00 | |
| 87806 | 15 | 15 | $0.00 | |
| 99212 | 103 | 99 | $0.00 | |
| 99201 | 13 | 13 | $0.00 |