LOS ANGELES COUNTY - LA PUENTE MTU
NPI: 1235284811
· LA PUENTE, CA 91744
· 261QR0400X
$477K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,996 |
$112K |
| 2019 |
3,376 |
$91K |
| 2020 |
667 |
$17K |
| 2021 |
1,281 |
$32K |
| 2022 |
2,930 |
$64K |
| 2023 |
4,489 |
$98K |
| 2024 |
2,868 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X3908 |
|
4,507 |
1,708 |
$95K |
| X3920 |
|
2,355 |
2,115 |
$81K |
| X4110 |
|
3,253 |
1,191 |
$69K |
| X3922 |
|
1,449 |
1,391 |
$60K |
| X4102 |
|
1,237 |
1,199 |
$55K |
| X4100 |
|
1,416 |
1,350 |
$49K |
| X3910 |
|
2,186 |
686 |
$24K |
| X4112 |
|
2,252 |
878 |
$24K |
| X3928 |
|
924 |
772 |
$19K |
| X4120 |
|
15 |
12 |
$314.70 |
| X3926 |
|
13 |
13 |
$272.74 |