NPI: 1184683302 · MANTECA, CA 95336 · Pediatrics Physician · NPI assigned 03/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,463 | $54K |
| 2019 | 5,147 | $47K |
| 2020 | 3,771 | $44K |
| 2021 | 4,957 | $58K |
| 2022 | 5,080 | $45K |
| 2023 | 3,925 | $42K |
| 2024 | 3,483 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 5,848 | 5,780 | $174K | |
| 99213 | 8,095 | 7,536 | $34K | |
| 96110 | 437 | 437 | $29K | |
| Q3014 | Telehealth originating site facility fee | 831 | 810 | $22K |
| 99188 | 716 | 715 | $15K | |
| 99391 | 1,257 | 1,251 | $12K | |
| 99173 | 1,328 | 1,326 | $5K | |
| 99392 | 1,795 | 1,785 | $5K | |
| 99460 | 78 | 77 | $4K | |
| 99393 | 1,430 | 1,428 | $4K | |
| 69210 | 121 | 120 | $4K | |
| 99394 | 567 | 566 | $4K | |
| 99239 | 59 | 57 | $4K | |
| 81003 | 1,027 | 1,024 | $2K | |
| 99381 | 31 | 29 | $2K | |
| 90651 | 366 | 366 | $1K | |
| 90686 | 1,453 | 1,452 | $978.10 | |
| 90677 | 136 | 128 | $750.00 | |
| 90710 | 488 | 484 | $613.66 | |
| 90670 | 1,302 | 1,298 | $544.92 | |
| 99462 | 18 | 12 | $529.22 | |
| 99214 | 25 | 25 | $317.14 | |
| 92552 | 1,236 | 1,235 | $286.83 | |
| 90698 | 720 | 719 | $283.35 | |
| 90620 | 12 | 12 | $259.94 | |
| 81002 | 92 | 92 | $211.94 | |
| 90734 | 260 | 259 | $200.68 | |
| 90680 | 540 | 537 | $108.54 | |
| 90744 | 291 | 289 | $108.00 | |
| 87880 | 13 | 13 | $100.68 | |
| 90696 | 51 | 51 | $68.06 | |
| 90715 | 55 | 55 | $53.31 | |
| 90648 | 208 | 208 | $36.54 | |
| 90700 | 182 | 182 | $9.00 | |
| 90713 | 43 | 43 | $0.00 | |
| 90633 | 527 | 526 | $0.00 | |
| 90685 | 13 | 13 | $0.00 | |
| 3078F | 14 | 14 | $0.00 | |
| 99212 | 18 | 18 | $0.00 | |
| 90707 | 27 | 27 | $0.00 | |
| 90716 | 27 | 27 | $0.00 | |
| 3074F | 14 | 14 | $0.00 | |
| 90656 | 63 | 63 | $0.00 | |
| 99383 | 12 | 12 | $0.00 |