NPI: 1164505020 · RIALTO, CA 92376 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,083 | $28K |
| 2019 | 254 | $13K |
| 2020 | 40 | $1K |
| 2021 | 286 | $11K |
| 2022 | 376 | $13K |
| 2023 | 24 | $1K |
| 2024 | 26 | $612.28 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99460 | 383 | 380 | $19K | |
| 99391 | 348 | 325 | $17K | |
| 99213 | 254 | 222 | $11K | |
| 99462 | 366 | 275 | $10K | |
| 99214 | 446 | 404 | $5K | |
| 99381 | 63 | 63 | $3K | |
| 96156 | 13 | 12 | $1K | |
| 90670 | 266 | 253 | $933.75 | |
| 90680 | 67 | 65 | $369.00 | |
| 90744 | 86 | 84 | $342.00 | |
| 90698 | 112 | 107 | $333.00 | |
| G8510 | Scr dep neg, no plan reqd | 29 | 28 | $296.52 |
| 90686 | 62 | 57 | $238.14 | |
| 99393 | 99 | 94 | $87.26 | |
| 99392 | 221 | 200 | $74.41 | |
| 92552 | 84 | 81 | $66.25 | |
| 99173 | 79 | 76 | $9.14 | |
| 85018 | 135 | 134 | $2.05 | |
| 90685 | 13 | 13 | $0.00 | |
| 99212 | 105 | 93 | $0.00 | |
| 90648 | 45 | 41 | $0.00 | |
| 83655 | 12 | 12 | $0.00 | |
| 90460 | 22 | 22 | $0.00 | |
| 90633 | 53 | 46 | $0.00 | |
| 90700 | 54 | 50 | $0.00 | |
| 90707 | 52 | 45 | $0.00 | |
| 4004F | 40 | 39 | $0.00 | |
| 90472 | 72 | 70 | $0.00 | |
| 36415 | 166 | 163 | $0.00 | |
| 90471 | 86 | 84 | $0.00 | |
| 3008F | 102 | 99 | $0.00 | |
| 90716 | 52 | 44 | $0.00 | |
| 97802 | 51 | 51 | $0.00 | |
| G0447 | Behavior counsel obesity 15m | 51 | 51 | $0.00 |