NPI: 1295810174 · HOLLISTER, CA 95023 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,947 | $1.62M |
| 2019 | 8,958 | $1.02M |
| 2020 | 16,915 | $2.34M |
| 2021 | 20,886 | $2.27M |
| 2022 | 22,532 | $1.47M |
| 2023 | 27,956 | $2.03M |
| 2024 | 42,481 | $2.64M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 44,672 | 37,044 | $8.03M |
| 00003 | 24,975 | 15,866 | $4.56M | |
| 99213 | 23,446 | 15,186 | $298K | |
| 99212 | 8,878 | 6,192 | $84K | |
| 99396 | 1,556 | 1,179 | $64K | |
| 99395 | 1,245 | 907 | $50K | |
| 92014 | 1,267 | 1,081 | $39K | |
| 90715 | 1,294 | 1,031 | $24K | |
| 92004 | 846 | 753 | $24K | |
| 90658 | 4,380 | 3,345 | $23K | |
| 99394 | 1,324 | 1,012 | $20K | |
| 99393 | 1,328 | 1,032 | $19K | |
| 99385 | 356 | 284 | $15K | |
| 99214 | 739 | 540 | $12K | |
| 90471 | 4,710 | 3,700 | $12K | |
| 99203 | 295 | 241 | $10K | |
| 99392 | 638 | 423 | $9K | |
| 90746 | 160 | 124 | $9K | |
| 92015 | 2,160 | 1,889 | $7K | |
| G0467 | Fqhc visit, estab pt | 219 | 178 | $7K |
| 90707 | 303 | 237 | $7K | |
| 83036 | 2,329 | 1,756 | $7K | |
| 87635 | 435 | 343 | $6K | |
| 90649 | 490 | 394 | $6K | |
| 92012 | 489 | 421 | $6K | |
| 90733 | 326 | 265 | $5K | |
| 81002 | 7,683 | 5,830 | $5K | |
| 90472 | 1,371 | 1,114 | $5K | |
| 85018 | 4,586 | 3,659 | $5K | |
| 97803 | 619 | 377 | $4K | |
| 82962 | 2,992 | 2,174 | $3K | |
| 0124A | 315 | 303 | $3K | |
| 92552 | 242 | 190 | $2K | |
| 87804 | 632 | 474 | $2K | |
| 90651 | 80 | 60 | $1K | |
| 88143 | 203 | 178 | $828.47 | |
| 0004A | 80 | 80 | $787.25 | |
| 90716 | 247 | 210 | $760.84 | |
| 90633 | 304 | 246 | $684.00 | |
| 99386 | 17 | 15 | $594.90 | |
| 92002 | 19 | 16 | $520.10 | |
| 97802 | 115 | 92 | $515.95 | |
| 99406 | 108 | 96 | $484.22 | |
| 99173 | 226 | 175 | $476.64 | |
| 90677 | 73 | 53 | $450.00 | |
| 0003A | 80 | 78 | $335.00 | |
| 81025 | 175 | 133 | $280.70 | |
| 91320 | 310 | 298 | $262.20 | |
| 90647 | 106 | 81 | $252.00 | |
| 83655 | 42 | 25 | $223.23 | |
| 99383 | 56 | 53 | $219.30 | |
| 0071A | 132 | 131 | $180.50 | |
| 0013A | 164 | 163 | $134.00 | |
| 92340 | 332 | 314 | $129.24 | |
| 99384 | 44 | 40 | $124.78 | |
| V2020 | Vision svcs frames purchases | 384 | 365 | $106.55 |
| 90620 | 62 | 42 | $94.50 | |
| 0072A | 151 | 150 | $90.25 | |
| 0001A | 105 | 105 | $90.25 | |
| 90744 | 16 | 13 | $72.00 | |
| 0002A | 192 | 190 | $67.02 | |
| 90656 | 69 | 56 | $24.23 | |
| 91300 | 870 | 849 | $0.00 | |
| 90700 | 32 | 25 | $0.00 | |
| 91312 | 153 | 153 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 115 | 104 | $0.00 |
| 91308 | 15 | 15 | $0.00 | |
| 86590 | 12 | 12 | $0.00 | |
| 90713 | 13 | 13 | $0.00 | |
| 90670 | 41 | 29 | $0.00 | |
| 91301 | 243 | 228 | $0.00 | |
| 81001 | 425 | 423 | $0.00 | |
| 91307 | 334 | 326 | $0.00 | |
| 0012A | 49 | 48 | $0.00 | |
| 0011A | 160 | 159 | $0.00 | |
| 85025 | 21 | 20 | $0.00 |