NPI: 1184636268 · MONTROSE, CA 91020 · 207QG0300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,750 | $16K |
| 2019 | 3,242 | $58K |
| 2020 | 1,503 | $9K |
| 2021 | 763 | $8K |
| 2022 | 144 | $325.51 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 533 | 165 | $43K | |
| 99493 | 243 | 231 | $15K | |
| 99494 | 627 | 605 | $8K | |
| 96372 | 1,486 | 483 | $6K | |
| 99492 | 182 | 181 | $5K | |
| J3490 | Drugs unclassified injection | 522 | 135 | $4K |
| J3415 | Pyridoxine hcl 100 mg | 1,139 | 370 | $4K |
| 90847 | 434 | 132 | $4K | |
| J3411 | Thiamine hcl 100 mg | 1,108 | 350 | $2K |
| 99214 | 197 | 89 | $492.67 | |
| 90836 | 285 | 91 | $336.36 | |
| 76881 | 36 | 12 | $332.79 | |
| 90785 | 1,094 | 322 | $234.45 | |
| J3420 | Vitamin b12 injection | 321 | 145 | $102.78 |
| 90838 | 137 | 79 | $81.84 | |
| 99350 | Prolong home eval add 15m | 21 | 12 | $0.01 |
| 97124 | 37 | 13 | $0.00 |