NPI: 1285195172 · SAN PEDRO, CA 90731 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,107 | $3K |
| 2020 | 483 | $12K |
| 2021 | 24 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0100U | 41 | 41 | $8K | |
| G0483 | Drug test def 22+ classes | 430 | 429 | $3K |
| 0097U | 78 | 78 | $2K | |
| 80307 | 480 | 479 | $2K | |
| 87581 | 79 | 78 | $495.42 | |
| 87798 | 91 | 90 | $396.46 | |
| 80053 | 27 | 27 | $67.77 | |
| 87486 | 107 | 106 | $0.00 | |
| 87541 | 104 | 104 | $0.00 | |
| 82607 | 27 | 27 | $0.00 | |
| 85651 | 27 | 27 | $0.00 | |
| 82150 | 27 | 27 | $0.00 | |
| 87631 | 70 | 70 | $0.00 | |
| 86677 | 26 | 26 | $0.00 |