NPI: 1225550874 · MARTELL, CA 95645 · 171W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,453 | $477K |
| 2019 | 12,202 | $744K |
| 2020 | 18,717 | $825K |
| 2021 | 10,026 | $366K |
| 2022 | 3,306 | $138K |
| 2023 | 4,602 | $227K |
| 2024 | 2,700 | $176K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 22,306 | 18,390 | $2.67M |
| 99213 | 8,761 | 6,162 | $86K | |
| 99214 | 4,516 | 3,005 | $63K | |
| 00003 | 124 | 63 | $24K | |
| 99212 | 4,157 | 2,860 | $22K | |
| 90832 | 594 | 310 | $20K | |
| G0467 | Fqhc visit, estab pt | 1,411 | 872 | $16K |
| G0468 | Fqhc visit, ippe or awv | 586 | 483 | $14K |
| 99203 | 240 | 225 | $12K | |
| 90791 | 132 | 89 | $8K | |
| 99202 | 240 | 214 | $5K | |
| 99392 | 142 | 92 | $2K | |
| 0012A | 94 | 55 | $2K | |
| 99391 | 56 | 54 | $2K | |
| 99393 | 33 | 25 | $1K | |
| 99422 | 417 | 322 | $1K | |
| 99204 | 73 | 60 | $964.60 | |
| 90688 | 82 | 60 | $922.30 | |
| 0011A | 73 | 37 | $889.50 | |
| 99382 | 14 | 14 | $659.82 | |
| 96110 | 12 | 12 | $658.80 | |
| 90674 | 43 | 39 | $591.97 | |
| 90686 | 181 | 113 | $360.90 | |
| G9920 | Scrning perf and negative | 27 | 16 | $359.60 |
| 92551 | 119 | 88 | $356.16 | |
| G0466 | Fqhc visit new patient | 20 | 14 | $294.30 |
| 90670 | 108 | 86 | $252.00 | |
| 87880 | 119 | 100 | $216.69 | |
| 99173 | 555 | 436 | $192.44 | |
| 90723 | 53 | 40 | $135.00 | |
| 90471 | 164 | 141 | $115.96 | |
| 99215 | Prolong outpt/office vis | 47 | 31 | $114.40 |
| 90460 | 322 | 288 | $56.64 | |
| 85018 | 42 | 42 | $44.94 | |
| 90716 | 22 | 12 | $27.00 | |
| 81001 | 17 | 12 | $9.83 | |
| G8754 | Dias bp less 90 | 1,434 | 1,220 | $0.00 |
| 3008F | 1,721 | 1,466 | $0.00 | |
| 1036F | 916 | 749 | $0.00 | |
| 91301 | 70 | 61 | $0.00 | |
| 2001F | 1,725 | 1,468 | $0.00 | |
| 3074F | 1,104 | 929 | $0.00 | |
| 90647 | 47 | 45 | $0.00 | |
| 3079F | 315 | 274 | $0.00 | |
| 3075F | 14 | 14 | $0.00 | |
| G8755 | Dias bp > or = 90 | 17 | 14 | $0.00 |
| 3080F | 15 | 12 | $0.00 | |
| 3048F | 23 | 18 | $0.00 | |
| 3078F | 943 | 807 | $0.00 | |
| G8752 | Sys bp less 140 | 1,321 | 1,120 | $0.00 |
| 80101 | 125 | 118 | $0.00 | |
| G8753 | Sys bp > or = 140 | 100 | 85 | $0.00 |
| 90461 | 100 | 82 | $0.00 | |
| 99442 | 14 | 13 | $0.00 | |
| 3077F | 100 | 85 | $0.00 |