NPI: 1225325129 · SAN BERNARDINO, CA 92404 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,338 | $206K |
| 2019 | 4,654 | $387K |
| 2020 | 984 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 67028 | 889 | 656 | $287K | |
| J9035 | Bevacizumab injection | 783 | 557 | $57K |
| J0178 | Aflibercept injection | 34 | 23 | $54K |
| 92225 | 1,205 | 670 | $53K | |
| 99204 | 735 | 734 | $43K | |
| 92134 | 1,311 | 955 | $39K | |
| 92133 | 976 | 555 | $29K | |
| 92012 | 601 | 576 | $20K | |
| 92014 | 509 | 500 | $18K | |
| 92250 | 494 | 492 | $18K | |
| 92082 | 501 | 492 | $15K | |
| 99203 | 229 | 229 | $13K | |
| 66984 | 13 | 13 | $12K | |
| 92020 | 351 | 337 | $6K | |
| 92004 | 57 | 57 | $2K | |
| 76514 | 207 | 204 | $2K | |
| 92202 | 69 | 36 | $916.74 | |
| 92136 | 12 | 12 | $783.14 |