NPI: 1265580500 · EXETER, CA 93221 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28,888 | $654K |
| 2019 | 28,426 | $485K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 15,689 | 10,350 | $889K |
| 99213 | 20,368 | 13,193 | $127K | |
| G0467 | Fqhc visit, estab pt | 1,389 | 897 | $30K |
| 99214 | 1,651 | 1,491 | $15K | |
| 96372 | 3,434 | 2,433 | $15K | |
| J3420 | Vitamin b12 injection | 2,169 | 1,829 | $9K |
| 99212 | 935 | 845 | $4K | |
| 97140 | 1,152 | 952 | $4K | |
| 98940 | 789 | 684 | $3K | |
| 99000 | 1,489 | 1,395 | $3K | |
| 81002 | 1,062 | 988 | $3K | |
| J1885 | Ketorolac tromethamine inj | 561 | 394 | $3K |
| 36410 | 1,279 | 1,186 | $3K | |
| 99203 | 95 | 92 | $3K | |
| 99401 | 619 | 540 | $2K | |
| 85018 | 512 | 491 | $2K | |
| 81003 | 484 | 458 | $2K | |
| 99173 | 370 | 370 | $2K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 535 | 535 | $1K |
| G0101 | Ca screen;pelvic/breast exam | 102 | 101 | $1K |
| 99211 | 287 | 264 | $1K | |
| 90833 | 140 | 115 | $1K | |
| 99394 | 81 | 81 | $1K | |
| 98941 | 143 | 129 | $1K | |
| 99395 | 47 | 47 | $1K | |
| 90471 | 298 | 282 | $1K | |
| 90688 | 151 | 141 | $1K | |
| 87880 | 208 | 206 | $982.14 | |
| 92552 | 264 | 263 | $979.39 | |
| 99204 | 62 | 60 | $979.29 | |
| 99393 | 118 | 118 | $875.53 | |
| 99396 | 30 | 30 | $802.63 | |
| 88142 | 78 | 73 | $720.32 | |
| 81025 | 159 | 145 | $525.20 | |
| 90756 | 65 | 64 | $473.51 | |
| 93000 | 50 | 50 | $378.63 | |
| 86580 | 37 | 37 | $183.69 | |
| J3301 | Triamcinolone acet inj nos | 46 | 37 | $153.66 |
| 90686 | 13 | 13 | $109.55 | |
| 90734 | 12 | 12 | $73.47 | |
| 92551 | 12 | 12 | $70.26 | |
| 36415 | 175 | 171 | $61.36 | |
| 90656 | 49 | 48 | $54.20 | |
| 99487 | Ccm add 20min | 13 | 13 | $35.64 |
| 99490 | Ccm add 20min | 14 | 14 | $0.00 |
| 93880 | 12 | 12 | $0.00 | |
| 93010 | 12 | 12 | $0.00 | |
| 93306 | 12 | 12 | $0.00 | |
| 94640 | 42 | 38 | $0.00 |