NPI: 1184674830 · SAN BERNARDINO, CA 92411 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,120 | $174K |
| 2019 | 10,768 | $384K |
| 2020 | 7,229 | $237K |
| 2021 | 882 | $25K |
| 2022 | 429 | $11K |
| 2023 | 221 | $7K |
| 2024 | 50 | $553.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 59425 | 4,028 | 2,754 | $191K | |
| J3490 | Drugs unclassified injection | 1,714 | 1,646 | $138K |
| 99212 | 3,299 | 2,953 | $134K | |
| 99213 | 1,709 | 1,596 | $67K | |
| 99215 | Prolong outpt/office vis | 444 | 439 | $50K |
| Z1034 | 903 | 603 | $49K | |
| 87491 | 495 | 492 | $32K | |
| 0500F | 366 | 365 | $32K | |
| 3351F | 375 | 372 | $27K | |
| 59430 | 308 | 287 | $21K | |
| 76801 | 177 | 173 | $12K | |
| 99381 | 94 | 94 | $8K | |
| 81025 | 2,825 | 2,663 | $7K | |
| Z1032 | 41 | 41 | $7K | |
| 88141 | 277 | 246 | $6K | |
| S9083 | Urgent care center global | 112 | 111 | $6K |
| Z6410 | 779 | 523 | $6K | |
| H1001 | Antepartum management | 78 | 53 | $5K |
| 99000 | 1,790 | 1,632 | $5K | |
| Z6500 | 41 | 41 | $5K | |
| S0197 | Prenatal vitamins 30 day | 2,861 | 1,721 | $4K |
| 99214 | 79 | 77 | $3K | |
| H1003 | Prenatal at risk education | 750 | 530 | $3K |
| 81002 | 1,472 | 1,181 | $3K | |
| 97802 | 89 | 89 | $3K | |
| 90715 | 29 | 29 | $3K | |
| G8510 | Scr dep neg, no plan reqd | 203 | 198 | $2K |
| 99460 | 34 | 34 | $2K | |
| 76805 | 17 | 15 | $2K | |
| 96372 | 85 | 77 | $1K | |
| 99202 | 12 | 12 | $1K | |
| 99238 | 29 | 29 | $1K | |
| 82947 | 409 | 392 | $1K | |
| 99391 | 12 | 12 | $937.08 | |
| 76816 | 12 | 12 | $597.20 | |
| 85018 | 198 | 170 | $353.76 | |
| 92557 | 32 | 32 | $350.74 | |
| 92551 | 12 | 12 | $131.65 | |
| 90633 | 12 | 12 | $108.00 | |
| 0502F | 405 | 327 | $0.00 | |
| H1000 | Prenatal care atrisk assessm | 13 | 13 | $0.00 |
| 3078F | 27 | 25 | $0.00 | |
| 3074F | 15 | 15 | $0.00 | |
| 0501F | 37 | 37 | $0.00 |