NPI: 1164745840 · MODESTO, CA 95350 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,101 | $222K |
| 2019 | 4,354 | $68K |
| 2020 | 2,334 | $34K |
| 2021 | 732 | $11K |
| 2022 | 1,808 | $40K |
| 2023 | 2,396 | $51K |
| 2024 | 3,757 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | 5,913 | 4,969 | $142K | |
| 90471 | 4,967 | 4,568 | $103K | |
| 87491 | 1,039 | 1,032 | $44K | |
| 87591 | 1,039 | 1,032 | $44K | |
| 97139 | 1,910 | 313 | $43K | |
| 97799 | 954 | 189 | $21K | |
| 90716 | 1,028 | 1,022 | $18K | |
| 83655 | 566 | 566 | $14K | |
| 99213 | 3,260 | 3,008 | $13K | |
| 90707 | 640 | 640 | $9K | |
| 90715 | 816 | 813 | $9K | |
| 97750 | 177 | 93 | $8K | |
| 97161 | 114 | 59 | $4K | |
| 86703 | 248 | 247 | $4K | |
| 99202 | 70 | 70 | $4K | |
| 90714 | 170 | 170 | $3K | |
| 87177 | 260 | 157 | $3K | |
| 90651 | 242 | 242 | $3K | |
| 90734 | 174 | 174 | $3K | |
| 90633 | 459 | 459 | $3K | |
| 99392 | 63 | 28 | $2K | |
| 92552 | 122 | 39 | $2K | |
| 90686 | 498 | 456 | $2K | |
| 99393 | 41 | 13 | $2K | |
| 88313 | 33 | 17 | $2K | |
| J3490 | Drugs unclassified injection | 37 | 37 | $2K |
| 90713 | 214 | 214 | $1K | |
| 86592 | 247 | 246 | $1K | |
| 99391 | 28 | 28 | $971.32 | |
| 90696 | 72 | 72 | $950.00 | |
| 99214 | 1,346 | 1,286 | $924.91 | |
| 99203 | 15 | 15 | $899.68 | |
| 90744 | 107 | 107 | $775.00 | |
| 87209 | 34 | 28 | $743.58 | |
| 85018 | 321 | 134 | $664.47 | |
| 90670 | 141 | 92 | $495.00 | |
| 96372 | 24 | 24 | $450.00 | |
| D1206 | 17 | 17 | $408.00 | |
| 99173 | 103 | 34 | $374.16 | |
| 90688 | 14 | 14 | $273.00 | |
| 81003 | 40 | 38 | $78.40 | |
| 81025 | 25 | 25 | $70.00 | |
| 90662 | 204 | 204 | $54.79 | |
| 86580 | 12 | 12 | $40.32 | |
| 90674 | 42 | 42 | $25.00 | |
| 90647 | 169 | 148 | $25.00 | |
| 90723 | 277 | 256 | $25.00 | |
| 90677 | 34 | 34 | $0.00 | |
| 94760 | 34 | 31 | $0.00 | |
| 90680 | 13 | 13 | $0.00 | |
| 90832 | 72 | 65 | $0.00 | |
| 90648 | 13 | 13 | $0.00 | |
| 90700 | 24 | 24 | $0.00 |