NPI: 1134285794 · FULLERTON, CA 92835 · Pediatrics Physician · NPI assigned 12/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 242 | $9K |
| 2020 | 79 | $2K |
| 2021 | 185 | $2K |
| 2022 | 155 | $3K |
| 2023 | 88 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 261 | 247 | $11K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 178 | 166 | $6K |
| 96156 | 12 | 12 | $1K | |
| 90658 | 28 | 28 | $252.00 | |
| 99173 | 12 | 12 | $40.48 | |
| 99072 | 208 | 170 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 50 | 26 | $0.00 |