NPI: 1154901726 · EL MONTE, CA 91731 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,417 | $4K |
| 2022 | 28,076 | $526K |
| 2023 | 76,648 | $2.67M |
| 2024 | 87,927 | $3.73M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 37,014 | 30,840 | $5.60M |
| 00003 | 6,538 | 5,411 | $1.18M | |
| 90837 | 1,840 | 815 | $44K | |
| 97811 | 9,290 | 5,722 | $24K | |
| 97810 | 9,288 | 5,722 | $24K | |
| 97140 | 8,941 | 5,687 | $23K | |
| 90834 | 417 | 249 | $9K | |
| 97026 | 8,930 | 5,680 | $6K | |
| 92551 | 2,572 | 1,800 | $4K | |
| 90791 | 46 | 42 | $3K | |
| 99213 | 20,870 | 15,998 | $3K | |
| 99393 | 994 | 678 | $2K | |
| 99394 | 946 | 642 | $1K | |
| 90832 | 72 | 52 | $987.86 | |
| 99212 | 2,011 | 1,410 | $769.91 | |
| 90651 | 1,136 | 805 | $757.02 | |
| 90633 | 470 | 315 | $550.03 | |
| 90471 | 6,221 | 4,588 | $490.14 | |
| 92014 | 430 | 426 | $360.32 | |
| 90744 | 225 | 168 | $280.00 | |
| 99214 | 11,488 | 9,510 | $274.71 | |
| 90698 | 245 | 154 | $200.00 | |
| 99392 | 617 | 353 | $128.92 | |
| 90715 | 172 | 114 | $127.00 | |
| 90686 | 1,407 | 1,183 | $110.65 | |
| 97039 | 6,398 | 3,964 | $101.76 | |
| 90670 | 85 | 51 | $90.00 | |
| 90472 | 1,188 | 843 | $82.12 | |
| 99204 | 37 | 27 | $74.42 | |
| 90734 | 189 | 154 | $45.00 | |
| 90620 | 208 | 124 | $30.00 | |
| 90716 | 21 | 13 | $30.00 | |
| 90677 | 281 | 175 | $28.00 | |
| 90674 | 780 | 517 | $20.06 | |
| 90619 | 345 | 225 | $20.02 | |
| 90681 | 39 | 27 | $9.00 | |
| 98961 | 8,246 | 5,537 | $0.03 | |
| 1158F | 483 | 476 | $0.00 | |
| 99395 | 329 | 307 | $0.00 | |
| 99397 | 51 | 51 | $0.00 | |
| 2028F | 371 | 366 | $0.00 | |
| 92015 | 302 | 301 | $0.00 | |
| G0468 | Fqhc visit, ippe or awv | 541 | 534 | $0.00 |
| 1160F | 439 | 433 | $0.00 | |
| 99396 | 1,270 | 1,258 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 209 | 209 | $0.00 |
| 4004F | 1,296 | 1,155 | $0.00 | |
| 1159F | 439 | 433 | $0.00 | |
| G0438 | Ppps, initial visit | 150 | 146 | $0.00 |
| 99080 | 1,168 | 703 | $0.00 | |
| 99203 | 85 | 68 | $0.00 | |
| 3078F | 2,294 | 2,243 | $0.00 | |
| 90661 | 437 | 307 | $0.00 | |
| 92012 | 98 | 97 | $0.00 | |
| 99215 | Prolong outpt/office vis | 21 | 21 | $0.00 |
| 99391 | 162 | 103 | $0.00 | |
| 3077F | 28 | 28 | $0.00 | |
| 1111F | 141 | 120 | $0.00 | |
| 36415 | 1,326 | 1,169 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 1,308 | 1,230 | $0.00 |
| 94760 | 2,728 | 1,838 | $0.00 | |
| 3008F | 9,694 | 6,875 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 2,192 | 2,032 | $0.00 |
| 3079F | 1,412 | 1,397 | $0.00 | |
| 3074F | 2,438 | 2,389 | $0.00 | |
| 3017F | 260 | 251 | $0.00 | |
| 94762 | 3,407 | 2,118 | $0.00 | |
| 92004 | 2,352 | 1,588 | $0.00 | |
| 99386 | 43 | 38 | $0.00 | |
| 3075F | 1,129 | 1,113 | $0.00 | |
| 1170F | 438 | 432 | $0.00 | |
| 1034F | 1,295 | 1,154 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 2,697 | 2,401 | $0.00 |
| 99385 | 19 | 12 | $0.00 | |
| 1126F | 435 | 420 | $0.00 | |
| G0439 | Ppps, subseq visit | 221 | 220 | $0.00 |
| 90792 | 115 | 115 | $0.00 | |
| 99383 | 73 | 55 | $0.00 | |
| G0296 | Visit to determ ldct elig | 127 | 127 | $0.00 |
| 90694 | 73 | 73 | $0.00 | |
| 90656 | 212 | 212 | $0.00 | |
| 88142 | 83 | 83 | $0.00 | |
| 2023F | 74 | 72 | $0.00 | |
| 99172 | 197 | 197 | $0.00 | |
| 90688 | 92 | 92 | $0.00 | |
| G0008 | Admin influenza virus vac | 242 | 242 | $0.00 |
| 96372 | 24 | 24 | $0.00 | |
| 93000 | 12 | 12 | $0.00 | |
| 94761 | 23 | 19 | $0.00 | |
| 90697 | 16 | 12 | $0.00 |