NPI: 1316463763 · FONTANA, CA 92336 · Health Maintenance Organization · NPI assigned 08/17/2017
Authorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | DAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR) |
| NPI Enumeration Date | 08/17/2017 |
Other providers sharing the same authorized official: DAVIDOFF, RAMIN
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 452 | $1K |
| 2020 | 364 | $5K |
| 2021 | 13 | $195.00 |
| 2022 | 427 | $7K |
| 2023 | 653 | $29K |
| 2024 | 737 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 491 | 488 | $23K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 522 | 518 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 636 | 636 | $7K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 71 | 71 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 42 | 42 | $3K |
| 90686 | 141 | 141 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 25 | 25 | $3K |
| 92551 | 148 | 148 | $3K | |
| 90674 | 91 | 91 | $3K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 100 | 99 | $3K |
| 90656 | 57 | 57 | $1K | |
| 87088 | 86 | 86 | $1K | |
| 99177 | 42 | 42 | $600.00 | |
| 86580 | 43 | 42 | $423.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 14 | 14 | $300.00 |
| 81003 | 44 | 44 | $180.00 | |
| 87081 | 13 | 13 | $143.00 | |
| 90661 | 14 | 14 | $38.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 12 | 12 | $23.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 26 | 26 | $0.00 |
| 99173 | 28 | 28 | $0.00 |