NPI: 1184606634 · MENDOTA, CA 93640 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 86,582 | $10.13M |
| 2019 | 79,476 | $6.58M |
| 2020 | 98,682 | $6.10M |
| 2021 | 126,794 | $7.19M |
| 2022 | 78,339 | $4.41M |
| 2023 | 133,284 | $4.93M |
| 2024 | 115,528 | $2.78M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 277,422 | 209,209 | $30.48M |
| 00003 | 74,513 | 46,719 | $10.80M | |
| 0001A | 4,039 | 2,312 | $180K | |
| 0002A | 3,745 | 2,158 | $168K | |
| G0467 | Fqhc visit, estab pt | 1,727 | 1,288 | $69K |
| 0012A | 1,448 | 896 | $63K | |
| 0011A | 1,497 | 931 | $51K | |
| 0071A | 865 | 473 | $40K | |
| 92004 | 3,444 | 2,896 | $39K | |
| 92014 | 4,243 | 3,565 | $31K | |
| 0064A | 687 | 433 | $31K | |
| 0031A | 657 | 406 | $30K | |
| V2020 | Vision svcs frames purchases | 1,468 | 1,466 | $28K |
| 0004A | 558 | 362 | $27K | |
| 0072A | 511 | 290 | $24K | |
| 92340 | 1,185 | 1,181 | $23K | |
| 92015 | 8,562 | 7,279 | $14K | |
| 0013A | 183 | 110 | $8K | |
| 0034A | 144 | 91 | $6K | |
| G9920 | Scrning perf and negative | 2,070 | 1,930 | $5K |
| 92012 | 771 | 690 | $3K | |
| 0134A | 33 | 33 | $2K | |
| 0003A | 20 | 20 | $1K | |
| 92341 | 44 | 44 | $1K | |
| 99213 | 80,344 | 68,664 | $1K | |
| 0124A | 14 | 14 | $938.00 | |
| 92250 | 1,053 | 1,042 | $758.40 | |
| D0230 | 2,313 | 563 | $0.00 | |
| 85018 | 12,095 | 12,016 | $0.00 | |
| 99214 | 21,170 | 20,117 | $0.00 | |
| Z1034 | 11,703 | 7,331 | $0.00 | |
| 1126F | 5,410 | 4,952 | $0.00 | |
| 3075F | 1,510 | 1,449 | $0.00 | |
| Z6406 | 3,045 | 2,713 | $0.00 | |
| 1036F | 13,142 | 10,714 | $0.00 | |
| G0008 | Admin influenza virus vac | 33 | 33 | $0.00 |
| 90686 | 4,568 | 4,549 | $0.00 | |
| 92551 | 6,288 | 6,272 | $0.00 | |
| Z6402 | 1,007 | 1,004 | $0.00 | |
| 3008F | 17,665 | 15,504 | $0.00 | |
| 90647 | 1,384 | 1,382 | $0.00 | |
| 87426 | 4,567 | 4,496 | $0.00 | |
| 3074F | 15,048 | 13,108 | $0.00 | |
| 98941 | 3,621 | 2,584 | $0.00 | |
| 90834 | 1,139 | 863 | $0.00 | |
| 90619 | 156 | 156 | $0.00 | |
| 90723 | 1,230 | 1,229 | $0.00 | |
| 90696 | 188 | 188 | $0.00 | |
| 90716 | 171 | 171 | $0.00 | |
| 83036 | 271 | 271 | $0.00 | |
| 90732 | 63 | 63 | $0.00 | |
| D0603 | 562 | 561 | $0.00 | |
| 86580 | 588 | 533 | $0.00 | |
| 90697 | 615 | 615 | $0.00 | |
| 99202 | 83 | 83 | $0.00 | |
| 3079F | 1,859 | 1,786 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 151 | 141 | $0.00 |
| Z6204 | 2,163 | 1,949 | $0.00 | |
| 3080F | 66 | 66 | $0.00 | |
| 90688 | 1,586 | 1,584 | $0.00 | |
| 99381 | 239 | 239 | $0.00 | |
| J3490 | Drugs unclassified injection | 108 | 108 | $0.00 |
| Z1038 | 73 | 73 | $0.00 | |
| 90650 | 15 | 15 | $0.00 | |
| 90677 | 326 | 326 | $0.00 | |
| 1125F | 124 | 122 | $0.00 | |
| 36415 | 671 | 663 | $0.00 | |
| D0150 | 89 | 89 | $0.00 | |
| D0210 | 25 | 25 | $0.00 | |
| Z6410 | 451 | 439 | $0.00 | |
| 96372 | 45 | 44 | $0.00 | |
| D2392 | 68 | 59 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 12 | 12 | $0.00 |
| 82962 | 176 | 171 | $0.00 | |
| D1351 | 177 | 90 | $0.00 | |
| D1208 | 289 | 288 | $0.00 | |
| Z1032 | 77 | 77 | $0.00 | |
| G9226 | 3 comp foot exam completed | 62 | 62 | $0.00 |
| D1206 | 209 | 209 | $0.00 | |
| 93000 | 37 | 37 | $0.00 | |
| 87428 | 204 | 199 | $0.00 | |
| 90471 | 56 | 56 | $0.00 | |
| D0120 | 568 | 567 | $0.00 | |
| D0272 | 12 | 12 | $0.00 | |
| 1034F | 16 | 14 | $0.00 | |
| 90733 | 14 | 14 | $0.00 | |
| D1310 | 149 | 149 | $0.00 | |
| Z6414 | 617 | 541 | $0.00 | |
| 99393 | 3,026 | 3,025 | $0.00 | |
| 99173 | 6,159 | 6,152 | $0.00 | |
| 3078F | 14,797 | 12,911 | $0.00 | |
| S3000 | Bilat dil retinal exam | 860 | 860 | $0.00 |
| 99392 | 4,504 | 4,504 | $0.00 | |
| 81025 | 2,809 | 2,771 | $0.00 | |
| 81003 | 14,660 | 10,722 | $0.00 | |
| 3077F | 333 | 325 | $0.00 | |
| 90681 | 704 | 704 | $0.00 | |
| 99391 | 3,292 | 3,248 | $0.00 | |
| 90670 | 2,372 | 2,371 | $0.00 | |
| Z6300 | 1,030 | 1,021 | $0.00 | |
| 99394 | 1,013 | 1,013 | $0.00 | |
| 90649 | 269 | 268 | $0.00 | |
| Z6400 | 2,541 | 1,981 | $0.00 | |
| 59025 | 364 | 200 | $0.00 | |
| 99212 | 10,220 | 9,438 | $0.00 | |
| Z6308 | 399 | 395 | $0.00 | |
| 98940 | 1,194 | 804 | $0.00 | |
| 90633 | 1,112 | 1,110 | $0.00 | |
| 3725F | 11,001 | 9,510 | $0.00 | |
| 90715 | 709 | 707 | $0.00 | |
| Z6200 | 970 | 964 | $0.00 | |
| 90700 | 90 | 90 | $0.00 | |
| 87880 | 485 | 475 | $0.00 | |
| 90832 | 735 | 602 | $0.00 | |
| 1159F | 7,296 | 6,353 | $0.00 | |
| 1160F | 7,295 | 6,352 | $0.00 | |
| 99204 | 123 | 123 | $0.00 | |
| 90710 | 207 | 207 | $0.00 | |
| D0274 | 352 | 352 | $0.00 | |
| D0270 | 129 | 127 | $0.00 | |
| Z6208 | 254 | 252 | $0.00 | |
| Z6304 | 2,688 | 2,395 | $0.00 | |
| D9430 | 235 | 232 | $0.00 | |
| 90791 | 474 | 474 | $0.00 | |
| 99203 | 14 | 14 | $0.00 | |
| D0220 | 413 | 369 | $0.00 | |
| D2391 | 115 | 91 | $0.00 | |
| 90707 | 109 | 109 | $0.00 | |
| D1120 | 506 | 505 | $0.00 | |
| 90734 | 24 | 24 | $0.00 | |
| 87811 | 967 | 958 | $0.00 | |
| 90630 | 81 | 81 | $0.00 | |
| 99395 | 31 | 31 | $0.00 | |
| 90644 | 25 | 25 | $0.00 | |
| 90685 | 43 | 43 | $0.00 | |
| D0145 | 13 | 13 | $0.00 | |
| 92134 | 15 | 15 | $0.00 | |
| 11721 | 12 | 12 | $0.00 |