NPI: 1225099880 · POMONA, CA 91767 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,437 | $3K |
| 2019 | 666 | $7K |
| 2020 | 51 | $637.36 |
| 2023 | 52 | $0.00 |
| 2024 | 212 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,404 | 1,297 | $8K | |
| 99214 | 373 | 358 | $1K | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 32 | 30 | $949.17 |
| 90471 | 35 | 33 | $360.00 | |
| 94760 | 78 | 71 | $122.72 | |
| 99212 | 78 | 76 | $83.47 | |
| 3078F | 125 | 116 | $0.00 | |
| 80061 | 131 | 129 | $0.00 | |
| 81003 | 112 | 110 | $0.00 | |
| 99442 | 15 | 14 | $0.00 | |
| 99397 | 20 | 15 | $0.00 | |
| 84443 | 78 | 76 | $0.00 | |
| 3074F | 139 | 129 | $0.00 | |
| 83036 | 115 | 115 | $0.00 | |
| 36415 | 323 | 306 | $0.00 | |
| 85025 | 130 | 126 | $0.00 | |
| 80053 | 190 | 187 | $0.00 | |
| 82306 | 13 | 13 | $0.00 | |
| 85027 | 27 | 27 | $0.00 |