NPI: 1164919049 · TRACY, CA 95377 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 39,276 | $924K |
| 2019 | 79,018 | $2.69M |
| 2020 | 94,750 | $2.93M |
| 2021 | 107,327 | $2.97M |
| 2022 | 106,718 | $2.47M |
| 2023 | 135,062 | $2.85M |
| 2024 | 100,924 | $3.09M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 150,405 | 127,587 | $15.79M |
| 90832 | 9,792 | 5,026 | $317K | |
| 90791 | 3,851 | 2,273 | $291K | |
| 90471 | 29,050 | 20,646 | $247K | |
| 59425 | 3,247 | 2,380 | $235K | |
| 99213 | 117,247 | 67,713 | $224K | |
| 96127 | 71,191 | 44,784 | $198K | |
| 96110 | 4,527 | 2,743 | $86K | |
| 90746 | 1,374 | 1,236 | $82K | |
| 99214 | 62,342 | 38,343 | $60K | |
| 90686 | 12,654 | 8,956 | $52K | |
| G0466 | Fqhc visit new patient | 1,345 | 1,209 | $35K |
| 90715 | 2,401 | 1,764 | $32K | |
| D1206 | 4,178 | 2,843 | $30K | |
| H1003 | Prenatal at risk education | 679 | 672 | $21K |
| 99391 | 4,092 | 2,965 | $21K | |
| 99401 | 1,036 | 914 | $20K | |
| 99173 | 10,990 | 7,418 | $17K | |
| 0011A | 250 | 249 | $17K | |
| 99396 | 2,819 | 1,836 | $13K | |
| 81003 | 11,266 | 6,064 | $12K | |
| 99392 | 5,194 | 3,281 | $9K | |
| 96156 | 681 | 679 | $8K | |
| 99395 | 2,779 | 1,784 | $7K | |
| 0012A | 109 | 109 | $7K | |
| 99394 | 4,478 | 2,783 | $6K | |
| 99393 | 4,960 | 3,065 | $6K | |
| 99188 | 771 | 567 | $6K | |
| 99203 | 1,169 | 826 | $6K | |
| 90662 | 324 | 263 | $5K | |
| 99212 | 8,246 | 4,681 | $5K | |
| G9012 | Other specified case mgmt | 53 | 38 | $5K |
| 90834 | 137 | 78 | $5K | |
| 81025 | 1,895 | 1,335 | $3K | |
| 99381 | 492 | 452 | $3K | |
| 87880 | 918 | 695 | $3K | |
| 97803 | 111 | 109 | $3K | |
| 97802 | 69 | 69 | $3K | |
| 92552 | 11,539 | 7,437 | $2K | |
| 99385 | 306 | 222 | $2K | |
| 0064A | 55 | 54 | $2K | |
| 98960 | 80 | 69 | $2K | |
| 99202 | 526 | 416 | $1K | |
| 59430 | 15 | 12 | $1K | |
| G0467 | Fqhc visit, estab pt | 30 | 29 | $819.60 |
| 99397 | 40 | 26 | $795.48 | |
| 99204 | 194 | 116 | $744.12 | |
| 99383 | 204 | 140 | $460.60 | |
| 88720 | 450 | 372 | $385.11 | |
| 99386 | 72 | 53 | $360.72 | |
| 99384 | 147 | 104 | $315.76 | |
| 99201 | 246 | 133 | $302.28 | |
| 87210 | 99 | 52 | $209.23 | |
| 90698 | 2,561 | 1,778 | $132.47 | |
| 90670 | 3,249 | 2,290 | $120.50 | |
| S9452 | Nutrition class | 12 | 12 | $110.00 |
| 90651 | 2,425 | 1,618 | $99.30 | |
| 90734 | 1,350 | 910 | $97.97 | |
| G2025 | Dis site tele svcs rhc/fqhc | 29 | 27 | $90.20 |
| 86580 | 44 | 44 | $87.36 | |
| 85018 | 9,061 | 8,299 | $83.36 | |
| 90633 | 2,385 | 1,669 | $82.89 | |
| 90744 | 2,358 | 1,784 | $82.80 | |
| 82947 | 734 | 675 | $63.36 | |
| 99382 | 45 | 33 | $55.99 | |
| 99211 | 14 | 13 | $14.40 | |
| 96161 | 1,243 | 1,179 | $2.05 | |
| 3074F | 23,849 | 21,449 | $0.00 | |
| 3079F | 6,825 | 6,221 | $0.00 | |
| Z1034 | 4,445 | 3,367 | $0.00 | |
| Z6406 | 864 | 748 | $0.00 | |
| 3075F | 3,872 | 3,528 | $0.00 | |
| Z6204 | 133 | 131 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 11,232 | 8,816 | $0.00 |
| 90677 | 417 | 294 | $0.00 | |
| Z6402 | 300 | 300 | $0.00 | |
| 90716 | 393 | 280 | $0.00 | |
| 90696 | 173 | 107 | $0.00 | |
| 3080F | 709 | 648 | $0.00 | |
| 90656 | 257 | 254 | $0.00 | |
| 87590 | 16 | 16 | $0.00 | |
| 90619 | 421 | 252 | $0.00 | |
| 90620 | 373 | 262 | $0.00 | |
| 88142 | 37 | 25 | $0.00 | |
| Z1032 | 42 | 42 | $0.00 | |
| 92551 | 14 | 14 | $0.00 | |
| 87490 | 18 | 17 | $0.00 | |
| 90681 | 719 | 537 | $0.00 | |
| 3077F | 3,195 | 2,881 | $0.00 | |
| 90472 | 205 | 199 | $0.00 | |
| 96160 | 1,845 | 1,679 | $0.00 | |
| 3078F | 23,058 | 20,773 | $0.00 | |
| Z6400 | 1,165 | 1,154 | $0.00 | |
| Z6300 | 309 | 309 | $0.00 | |
| 90710 | 290 | 192 | $0.00 | |
| 0502F | 95 | 82 | $0.00 | |
| 90707 | 202 | 154 | $0.00 | |
| 2028F | 13 | 12 | $0.00 | |
| Z6200 | 288 | 288 | $0.00 | |
| 83655 | 109 | 105 | $0.00 | |
| 90648 | 52 | 52 | $0.00 | |
| 99215 | Prolong outpt/office vis | 173 | 85 | $0.00 |
| 88164 | 76 | 38 | $0.00 | |
| 90700 | 125 | 79 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 12 | 12 | $0.00 |
| Z6304 | 78 | 78 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 12 | 12 | $0.00 |
| 90685 | 15 | 15 | $0.00 | |
| 90713 | 14 | 14 | $0.00 |