NPI: 1164771747 · CULVER CITY, CA 90230 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,822 | $910K |
| 2019 | 7,746 | $557K |
| 2020 | 13,751 | $939K |
| 2021 | 20,540 | $1.24M |
| 2022 | 20,865 | $992K |
| 2023 | 24,721 | $1.56M |
| 2024 | 20,210 | $1.68M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 36,067 | 30,601 | $7.79M |
| 90674 | 1,109 | 767 | $14K | |
| 99213 | 26,717 | 15,909 | $11K | |
| G0467 | Fqhc visit, estab pt | 218 | 201 | $7K |
| 0011A | 143 | 103 | $7K | |
| 0012A | 120 | 89 | $6K | |
| 90715 | 459 | 272 | $5K | |
| 93000 | 406 | 278 | $5K | |
| 90686 | 1,072 | 842 | $4K | |
| 96110 | 772 | 454 | $4K | |
| G9920 | Scrning perf and negative | 1,928 | 1,253 | $4K |
| 90471 | 2,879 | 1,979 | $3K | |
| 0134A | 71 | 69 | $3K | |
| 99214 | 5,469 | 3,326 | $3K | |
| 90746 | 61 | 40 | $2K | |
| 90837 | 2,449 | 756 | $2K | |
| 99212 | 8,688 | 4,745 | $890.76 | |
| 3725F | 3,097 | 1,882 | $882.69 | |
| 99394 | 544 | 333 | $837.34 | |
| 3078F | 1,790 | 1,040 | $628.62 | |
| 90651 | 22 | 15 | $538.30 | |
| 0064A | 21 | 16 | $536.00 | |
| 85018 | 1,336 | 1,043 | $387.91 | |
| 90661 | 248 | 172 | $374.31 | |
| 83036 | 1,785 | 1,145 | $327.30 | |
| 99393 | 326 | 190 | $300.98 | |
| 92551 | 662 | 660 | $294.08 | |
| 99395 | 283 | 158 | $235.65 | |
| 1000F | 2,579 | 1,536 | $229.81 | |
| 80061 | 272 | 180 | $216.28 | |
| 82962 | 198 | 170 | $216.16 | |
| 3079F | 351 | 200 | $210.58 | |
| 86580 | 40 | 26 | $206.80 | |
| 90707 | 17 | 13 | $122.25 | |
| 99392 | 38 | 26 | $106.90 | |
| 3074F | 1,735 | 1,006 | $100.03 | |
| 90756 | 23 | 23 | $96.85 | |
| G9919 | Scrn nd pos nd prov of rec | 95 | 57 | $87.00 |
| 99215 | Prolong outpt/office vis | 370 | 203 | $85.90 |
| 82274 | 159 | 134 | $76.84 | |
| 99204 | 12 | 12 | $68.21 | |
| 99173 | 668 | 666 | $62.08 | |
| 99203 | 201 | 139 | $57.20 | |
| 87389 | 273 | 273 | $42.83 | |
| 3351F | 2,446 | 1,481 | $36.51 | |
| 90713 | 19 | 12 | $36.00 | |
| 99202 | 796 | 466 | $28.70 | |
| 3077F | 121 | 63 | $28.51 | |
| 90836 | 74 | 67 | $24.60 | |
| 3075F | 304 | 175 | $24.00 | |
| 86803 | 233 | 233 | $11.31 | |
| 81000 | 60 | 36 | $5.13 | |
| 86706 | 75 | 75 | $0.00 | |
| TELEH | Telehealth inpt pharm mgmt | 1,457 | 1,331 | $0.00 |
| TELEP | Rn telephone calls to dmp | 4,937 | 4,522 | $0.00 |
| 90785 | 117 | 70 | $0.00 | |
| 96160 | 57 | 56 | $0.00 | |
| 99396 | 24 | 13 | $0.00 | |
| 69210 | 46 | 39 | $0.00 | |
| SHA | Doc share dec prior proc | 37 | 37 | $0.00 |
| 87811 | 38 | 38 | $0.00 | |
| 90472 | 19 | 12 | $0.00 | |
| 81025 | 22 | 12 | $0.00 |