NPI: 1215959796 · SAN JOSE, CA 95112 · 173000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,074 | $25K |
| 2019 | 4,177 | $24K |
| 2020 | 1,900 | $15K |
| 2021 | 1,831 | $27K |
| 2022 | 1,280 | $13K |
| 2023 | 2,804 | $2K |
| 2024 | 2,745 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90658 | 2,564 | 2,555 | $27K | |
| 99392 | 624 | 617 | $26K | |
| 99394 | 695 | 686 | $22K | |
| 99213 | 11,946 | 10,545 | $13K | |
| 99393 | 251 | 250 | $9K | |
| 90649 | 309 | 309 | $3K | |
| 90744 | 248 | 248 | $2K | |
| 92081 | 157 | 157 | $2K | |
| 90620 | 196 | 196 | $2K | |
| 92552 | 126 | 126 | $2K | |
| 90734 | 174 | 174 | $1K | |
| 90460 | 172 | 169 | $1K | |
| 90633 | 127 | 127 | $1K | |
| 90688 | 38 | 37 | $951.34 | |
| 99214 | 537 | 533 | $934.44 | |
| 90715 | 50 | 50 | $523.51 | |
| 90686 | 263 | 262 | $501.39 | |
| 90710 | 44 | 44 | $378.47 | |
| 83036 | 94 | 94 | $293.88 | |
| 90746 | 12 | 12 | $229.22 | |
| 90657 | 24 | 24 | $226.80 | |
| 90698 | 14 | 14 | $113.40 | |
| 99396 | 79 | 78 | $111.13 | |
| 90662 | 14 | 14 | $85.84 | |
| 86580 | 24 | 24 | $76.67 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |
| 99203 | 17 | 14 | $0.00 |