NPI: 1164914115 · HAWTHORNE, CA 90250 · Health Maintenance Organization · NPI assigned 06/05/2018
Authorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | DAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR) |
| NPI Enumeration Date | 06/05/2018 |
Other providers sharing the same authorized official: DAVIDOFF, RAMIN
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 872 | $49K |
| 2020 | 320 | $22K |
| 2021 | 27 | $555.00 |
| 2022 | 177 | $6K |
| 2023 | 225 | $11K |
| 2024 | 421 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 856 | 845 | $67K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 327 | 321 | $24K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 56 | 56 | $5K |
| 92551 | 176 | 175 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 241 | 241 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 48 | 48 | $2K |
| 90674 | 55 | 55 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12 | 12 | $2K |
| 90686 | 45 | 45 | $1K | |
| 86580 | 118 | 111 | $1K | |
| 90656 | 15 | 15 | $375.00 | |
| 99173 | 68 | 67 | $340.00 | |
| 87088 | 13 | 13 | $247.00 | |
| 87081 | 12 | 12 | $132.00 |