NPI: 1235265851 · POMONA VALLEY, CA 91767 · 261QM2500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 205,469 | $414K |
| 2019 | 173,534 | $363K |
| 2020 | 176,164 | $425K |
| 2021 | 239,863 | $535K |
| 2022 | 208,452 | $522K |
| 2023 | 229,451 | $591K |
| 2024 | 186,958 | $382K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 88305 | 14,513 | 13,947 | $639K | |
| 88307 | 6,829 | 6,707 | $445K | |
| 80055 | 64,071 | 42,751 | $366K | |
| 80053 | 136,841 | 80,753 | $226K | |
| 85027 | 121,031 | 62,070 | $121K | |
| 80048 | 69,616 | 43,448 | $92K | |
| 88304 | 4,499 | 4,420 | $91K | |
| 83735 | 66,831 | 23,468 | $69K | |
| 84145 | 17,794 | 12,160 | $65K | |
| 85025 | 55,271 | 33,192 | $64K | |
| 83880 | 13,221 | 10,405 | $63K | |
| 82948 | 85,712 | 32,094 | $54K | |
| 84484 | 33,513 | 27,906 | $51K | |
| 87086 | 32,882 | 29,883 | $38K | |
| 83036 | 25,079 | 23,259 | $37K | |
| 87040 | 19,144 | 15,212 | $36K | |
| 83690 | 35,778 | 31,892 | $36K | |
| 83605 | 21,110 | 16,389 | $35K | |
| 87653 | 6,368 | 5,963 | $33K | |
| 0241U | 4,244 | 4,048 | $33K | |
| 85730 | 32,122 | 25,669 | $32K | |
| 87081 | 22,871 | 19,410 | $27K | |
| 84702 | 12,698 | 11,547 | $26K | |
| 87077 | 15,515 | 13,240 | $25K | |
| 85610 | 36,777 | 28,611 | $24K | |
| 87635 | 1,699 | 1,599 | $23K | |
| 87502 | 1,801 | 1,748 | $22K | |
| 84443 | 7,309 | 6,717 | $18K | |
| 88302 | 653 | 644 | $17K | |
| 81015 | 33,177 | 29,410 | $17K | |
| 86901 | 33,437 | 28,438 | $16K | |
| 86900 | 32,572 | 28,353 | $15K | |
| 87186 | 9,530 | 8,396 | $14K | |
| 82247 | 17,856 | 9,387 | $14K | |
| 0202U | 3,260 | 3,186 | $14K | |
| 86140 | 16,416 | 12,535 | $13K | |
| 81003 | 33,572 | 31,346 | $13K | |
| 86703 | 5,686 | 5,441 | $12K | |
| 86850 | 25,976 | 23,990 | $12K | |
| 82330 | 7,489 | 2,858 | $11K | |
| 86592 | 15,081 | 14,533 | $10K | |
| 85007 | 20,832 | 12,889 | $10K | |
| 80074 | 1,449 | 1,349 | $10K | |
| 80061 | 4,808 | 4,503 | $9K | |
| 84703 | 8,948 | 8,721 | $9K | |
| 87591 | 1,771 | 1,670 | $9K | |
| 87491 | 1,771 | 1,670 | $9K | |
| 82140 | 3,786 | 2,517 | $8K | |
| 88342 | 215 | 206 | $8K | |
| 87631 | 738 | 725 | $8K | |
| 81001 | 14,960 | 13,891 | $7K | |
| 86880 | 7,321 | 6,980 | $7K | |
| 84100 | 12,129 | 2,701 | $7K | |
| 85378 | 6,008 | 5,090 | $7K | |
| 86803 | 3,040 | 2,931 | $7K | |
| 85014 | 14,600 | 12,727 | $7K | |
| 80202 | 3,133 | 1,739 | $6K | |
| 85384 | 4,627 | 3,911 | $6K | |
| 85018 | 13,826 | 12,080 | $6K | |
| 82553 | 3,230 | 2,113 | $6K | |
| 82533 | 2,381 | 2,177 | $6K | |
| 87070 | 3,703 | 3,057 | $6K | |
| 87340 | 3,525 | 3,397 | $5K | |
| 82248 | 8,909 | 5,031 | $5K | |
| 87633 | 74 | 72 | $4K | |
| 87075 | 2,467 | 2,029 | $4K | |
| 82746 | 1,719 | 1,622 | $4K | |
| U0002 | Covid-19 lab test non-cdc | 886 | 841 | $4K |
| 82728 | 1,835 | 1,739 | $4K | |
| 82607 | 1,652 | 1,600 | $4K | |
| 82010 | 2,989 | 2,692 | $4K | |
| 87205 | 4,006 | 3,113 | $3K | |
| 89051 | 920 | 748 | $3K | |
| 83540 | 1,684 | 1,555 | $3K | |
| 86762 | 1,502 | 1,467 | $3K | |
| 87493 | 626 | 603 | $3K | |
| 82552 | 1,376 | 1,220 | $3K | |
| 86870 | 858 | 797 | $3K | |
| 84439 | 2,019 | 1,845 | $3K | |
| 82570 | 2,993 | 2,594 | $3K | |
| 83550 | 1,596 | 1,209 | $2K | |
| 80051 | 1,934 | 760 | $2K | |
| 87651 | 415 | 410 | $2K | |
| 82306 | 481 | 435 | $2K | |
| 86735 | 766 | 319 | $2K | |
| 80076 | 1,514 | 1,224 | $2K | |
| 85576 | 785 | 739 | $2K | |
| 85651 | 3,602 | 3,195 | $2K | |
| 85004 | 1,625 | 1,458 | $2K | |
| 82550 | 1,991 | 1,334 | $2K | |
| 84156 | 2,359 | 1,930 | $1K | |
| 84478 | 2,799 | 1,426 | $1K | |
| 88341 | 24 | 24 | $1K | |
| 82042 | 2,061 | 1,065 | $1K | |
| 87798 | 229 | 214 | $1K | |
| 82565 | 2,234 | 1,245 | $1K | |
| 82731 | 100 | 91 | $980.07 | |
| 84460 | 2,084 | 953 | $927.72 | |
| 84450 | 2,011 | 936 | $834.49 | |
| 87210 | 1,133 | 1,088 | $756.68 | |
| 87015 | 699 | 573 | $715.13 | |
| 81025 | 711 | 702 | $709.97 | |
| 85347 | 762 | 682 | $610.22 | |
| 84480 | 246 | 214 | $574.86 | |
| 88312 | 28 | 26 | $539.44 | |
| 82310 | 1,432 | 685 | $508.53 | |
| 86706 | 336 | 292 | $495.28 | |
| 84075 | 1,509 | 676 | $467.70 | |
| 84300 | 660 | 579 | $461.37 | |
| 87045 | 299 | 285 | $437.73 | |
| 83615 | 570 | 376 | $420.29 | |
| 85008 | 2,311 | 1,792 | $416.67 | |
| 87147 | 520 | 368 | $403.09 | |
| 87581 | 73 | 71 | $356.84 | |
| 87486 | 73 | 71 | $356.84 | |
| 84520 | 1,591 | 779 | $353.00 | |
| 85045 | 513 | 405 | $324.83 | |
| 84155 | 1,491 | 667 | $309.31 | |
| 82272 | 269 | 257 | $298.33 | |
| 80170 | 90 | 78 | $257.75 | |
| 87880 | 239 | 238 | $257.56 | |
| 85049 | 339 | 274 | $228.65 | |
| 87420 | 322 | 313 | $183.18 | |
| 87102 | 123 | 106 | $168.79 | |
| 82150 | 172 | 155 | $162.15 | |
| 87177 | 70 | 69 | $161.12 | |
| 85390 | 160 | 154 | $160.16 | |
| 82947 | 267 | 191 | $157.97 | |
| 87425 | 90 | 90 | $133.69 | |
| 82945 | 214 | 180 | $121.73 | |
| 87899 | 141 | 136 | $106.03 | |
| 86157 | 83 | 81 | $96.61 | |
| 87427 | 59 | 57 | $81.70 | |
| 84157 | 140 | 119 | $72.04 | |
| 87046 | 133 | 129 | $56.76 | |
| 87184 | 39 | 36 | $42.42 | |
| 85461 | 54 | 54 | $40.61 | |
| 87209 | 15 | 15 | $37.00 | |
| 86904 | 30 | 29 | $35.29 | |
| 84132 | 62 | 60 | $32.73 | |
| 86769 | 17 | 17 | $16.86 | |
| 83930 | 16 | 12 | $14.58 | |
| 87106 | 20 | 18 | $11.82 |