NPI: 1306959721 · SAN DIEGO, CA 92119 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,605 | $1.66M |
| 2019 | 13,765 | $830K |
| 2020 | 10,472 | $276K |
| 2021 | 1,484 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q4131 | Epifix or epicord | 581 | 304 | $591K |
| Q4172 | Puraply or puraply am | 210 | 95 | $434K |
| 17110 | 4,585 | 4,058 | $292K | |
| 17004 | 2,127 | 1,926 | $270K | |
| Q4195 | Puraply 1 sq cm | 93 | 54 | $150K |
| 99213 | 9,476 | 7,280 | $142K | |
| 96910 | 5,493 | 1,616 | $108K | |
| Q4186 | Epifix 1 sq cm | 167 | 57 | $91K |
| 17000 | 2,624 | 2,347 | $90K | |
| 99204 | 1,419 | 1,416 | $85K | |
| Q4145 | Epifix, inj, 1mg | 40 | 28 | $72K |
| 11042 | 972 | 559 | $57K | |
| 95044 | 228 | 222 | $55K | |
| 11200 | 1,957 | 1,829 | $42K | |
| 11100 | 1,356 | 1,245 | $40K | |
| 99309 | 1,200 | 778 | $36K | |
| 97597 | 1,322 | 984 | $36K | |
| 99214 | 2,770 | 2,479 | $27K | |
| 15271 | 570 | 304 | $26K | |
| 99203 | 609 | 607 | $23K | |
| 15275 | 448 | 205 | $22K | |
| 17003 | 1,525 | 1,441 | $19K | |
| 11102 | 399 | 385 | $19K | |
| 11043 | 245 | 146 | $14K | |
| 10060 | 330 | 314 | $12K | |
| 14001 | 54 | 50 | $11K | |
| 99308 | 717 | 545 | $10K | |
| 11106 | 126 | 123 | $8K | |
| 99211 | 681 | 220 | $8K | |
| 11900 | 215 | 203 | $3K | |
| 11101 | 172 | 170 | $3K | |
| 11402 | 72 | 69 | $3K | |
| J3301 | Triamcinolone acet inj nos | 276 | 260 | $2K |
| 99305 | 63 | 63 | $2K | |
| 11104 | 17 | 17 | $1K | |
| 14021 | 15 | 15 | $1K | |
| 11312 | 17 | 17 | $757.25 | |
| 11103 | 32 | 29 | $757.08 | |
| 17250 | 52 | 37 | $734.29 | |
| 11107 | 33 | 33 | $353.85 | |
| 99343 | 24 | 24 | $223.42 | |
| 99215 | Prolong outpt/office vis | 14 | 12 | $0.00 |