NPI: 1265087316 · FRESNO, CA 93710 · Case Manager/Care Coordinator · NPI assigned 08/06/2019
Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
| Authorized Official | LOPEZ, MARY LOU (DIRECTOR OF BILLING) |
| NPI Enumeration Date | 08/06/2019 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,006 | $141K |
| 2021 | 49,202 | $3.85M |
| 2022 | 47,129 | $3.74M |
| 2023 | 86,639 | $4.11M |
| 2024 | 149,355 | $4.23M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 83,592 | 67,422 | $11.78M |
| 00003 | Internal/system code - not a standard HCPCS code | 22,511 | 16,824 | $4.06M |
| 0001A | 980 | 532 | $44K | |
| 0002A | 938 | 510 | $42K | |
| 0004A | 390 | 247 | $19K | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1,781 | 1,446 | $19K |
| 0011A | 480 | 272 | $18K | |
| 0012A | 387 | 224 | $17K | |
| 0064A | 375 | 219 | $17K | |
| 0071A | 201 | 105 | $9K | |
| 0031A | 153 | 86 | $7K | |
| 0124A | 89 | 89 | $6K | |
| 0072A | 123 | 65 | $6K | |
| 0134A | 75 | 75 | $5K | |
| 0013A | 94 | 52 | $4K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42,359 | 35,920 | $3K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12,497 | 11,813 | $886.32 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9,015 | 7,823 | $427.80 |
| G9920 | Screening performed and negative | 289 | 273 | $304.50 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 101 | 101 | $219.23 |
| G9919 | Screening performed and positive and provision of recommendations | 51 | 42 | $58.00 |
| 81025 | 1,428 | 1,402 | $25.20 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 75 | 70 | $19.65 |
| 81003 | 3,263 | 3,137 | $17.25 | |
| 3078F | 14,153 | 13,137 | $0.00 | |
| 3725F | 17,337 | 15,033 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3,344 | 3,285 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 876 | 863 | $0.00 |
| D9430 | 1,019 | 979 | $0.00 | |
| 90715 | 272 | 272 | $0.00 | |
| 1160F | 7,579 | 6,636 | $0.00 | |
| 1159F | 7,580 | 6,637 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,479 | 1,477 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 840 | 838 | $0.00 |
| 3077F | 525 | 490 | $0.00 | |
| D1120 | Prophylaxis - child | 420 | 419 | $0.00 |
| 90658 | 259 | 259 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 667 | 664 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 184 | 184 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 1,172 | 1,149 | $0.00 |
| D1110 | Prophylaxis - adult | 377 | 377 | $0.00 |
| 98940 | 2,254 | 1,791 | $0.00 | |
| D4910 | 54 | 53 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 340 | 340 | $0.00 |
| 99173 | 519 | 517 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 868 | 813 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 26 | 26 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 102 | 102 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 27 | 27 | $0.00 |
| D0270 | 350 | 348 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 203 | 150 | $0.00 |
| D4341 | 128 | 59 | $0.00 | |
| 3074F | 14,765 | 13,626 | $0.00 | |
| 1036F | 20,551 | 17,211 | $0.00 | |
| 1126F | 7,878 | 7,388 | $0.00 | |
| 3008F | 20,684 | 18,682 | $0.00 | |
| 3079F | 4,313 | 4,074 | $0.00 | |
| 90688 | 641 | 632 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 614 | 612 | $0.00 |
| 1125F | 2,346 | 2,140 | $0.00 | |
| 85018 | 943 | 935 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 1,113 | 916 | $0.00 |
| 1035F | 175 | 144 | $0.00 | |
| D4342 | 18 | 13 | $0.00 | |
| 3075F | 3,191 | 3,044 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 753 | 750 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 971 | 930 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 89 | 80 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 514 | 509 | $0.00 |
| 92551 | 505 | 501 | $0.00 | |
| 1034F | 1,622 | 1,264 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 144 | 120 | $0.00 |
| D0602 | 118 | 117 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2,676 | 2,028 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 644 | 643 | $0.00 |
| D0603 | 290 | 290 | $0.00 | |
| 87428 | 184 | 184 | $0.00 | |
| 3080F | 148 | 142 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 3,227 | 1,006 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 310 | 309 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 156 | 121 | $0.00 |
| 90686 | 125 | 124 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 68 | 67 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 109 | 109 | $0.00 |
| 90480 | 29 | 28 | $0.00 | |
| 92227 | 15 | 13 | $0.00 | |
| 99386 | 14 | 14 | $0.00 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 12 | 12 | $0.00 |
| 99243 | 139 | 139 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 36 | 35 | $0.00 |