NPI: 1215416839 · SELMA, CA 93662 · 171M00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 216 | $4K |
| 2020 | 9,966 | $5K |
| 2021 | 15,160 | $18K |
| 2022 | 11,800 | $5K |
| 2023 | 24,858 | $17K |
| 2024 | 1,335 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 904 | 903 | $31K | |
| V2020 | Vision svcs frames purchases | 733 | 731 | $12K |
| 92340 | 516 | 514 | $9K | |
| 92015 | 1,196 | 1,194 | $8K | |
| G0467 | Fqhc visit, estab pt | 961 | 727 | $3K |
| 92004 | 50 | 49 | $2K | |
| 99213 | 30,483 | 22,969 | $935.56 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 47 | 38 | $366.52 |
| 92341 | 12 | 12 | $343.44 | |
| 99214 | 4,411 | 3,920 | $236.25 | |
| 90834 | 368 | 296 | $133.65 | |
| 99202 | 330 | 330 | $112.54 | |
| 99212 | 826 | 771 | $38.52 | |
| 92250 | 68 | 68 | $37.92 | |
| 86580 | 36 | 35 | $3.70 | |
| 81003 | 848 | 798 | $0.45 | |
| 3008F | 1,909 | 1,746 | $0.00 | |
| 90688 | 545 | 545 | $0.00 | |
| 3074F | 1,305 | 1,198 | $0.00 | |
| 1034F | 33 | 27 | $0.00 | |
| 87426 | 291 | 287 | $0.00 | |
| 92551 | 736 | 736 | $0.00 | |
| 1125F | 262 | 250 | $0.00 | |
| 1036F | 1,834 | 1,601 | $0.00 | |
| 3075F | 315 | 307 | $0.00 | |
| 3079F | 349 | 329 | $0.00 | |
| 96156 | 661 | 596 | $0.00 | |
| 82962 | 365 | 346 | $0.00 | |
| 90686 | 198 | 198 | $0.00 | |
| 99243 | 178 | 178 | $0.00 | |
| 85018 | 305 | 304 | $0.00 | |
| 87428 | 263 | 258 | $0.00 | |
| 1126F | 1,367 | 1,277 | $0.00 | |
| 92227 | 14 | 14 | $0.00 | |
| J3420 | Vitamin b12 injection | 39 | 36 | $0.00 |
| 91307 | 68 | 60 | $0.00 | |
| G9226 | 3 comp foot exam completed | 14 | 14 | $0.00 |
| 0064A | 44 | 43 | $0.00 | |
| 91306 | 44 | 43 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 90 | 68 | $0.00 |
| 0072A | 47 | 47 | $0.00 | |
| 97802 | 20 | 20 | $0.00 | |
| 98941 | 21 | 18 | $0.00 | |
| 1159F | 1,996 | 1,764 | $0.00 | |
| S3000 | Bilat dil retinal exam | 57 | 57 | $0.00 |
| 3078F | 1,361 | 1,268 | $0.00 | |
| G9920 | Scrning perf and negative | 157 | 154 | $0.00 |
| 99393 | 91 | 91 | $0.00 | |
| 90832 | 451 | 314 | $0.00 | |
| 81025 | 84 | 84 | $0.00 | |
| 99401 | 404 | 349 | $0.00 | |
| 87811 | 936 | 910 | $0.00 | |
| 99173 | 567 | 567 | $0.00 | |
| 3725F | 1,593 | 1,399 | $0.00 | |
| 1160F | 1,996 | 1,764 | $0.00 | |
| 99203 | 220 | 220 | $0.00 | |
| H1003 | Prenatal at risk education | 16 | 16 | $0.00 |
| 0071A | 14 | 14 | $0.00 | |
| 97803 | 90 | 83 | $0.00 | |
| 99396 | 60 | 60 | $0.00 | |
| 90791 | 27 | 27 | $0.00 | |
| 3077F | 49 | 47 | $0.00 | |
| 87880 | 45 | 43 | $0.00 | |
| 99394 | 15 | 15 | $0.00 |