NPI: 1326252693 · MODESTO, CA 95350 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 87,821 | $11.10M |
| 2019 | 149,187 | $11.73M |
| 2020 | 224,289 | $16.51M |
| 2021 | 116,622 | $12.11M |
| 2022 | 88,234 | $8.77M |
| 2023 | 113,568 | $10.89M |
| 2024 | 83,022 | $8.13M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 517,334 | 421,538 | $78.96M |
| G0467 | Fqhc visit, estab pt | 5,092 | 3,737 | $202K |
| G0466 | Fqhc visit new patient | 701 | 648 | $46K |
| 0012A | 128 | 127 | $8K | |
| 0011A | 110 | 109 | $6K | |
| 0124A | 69 | 69 | $5K | |
| 0064A | 63 | 63 | $4K | |
| 0054A | 55 | 55 | $4K | |
| 0134A | 29 | 29 | $2K | |
| 0004A | 13 | 13 | $871.00 | |
| 99213 | 96,830 | 92,245 | $24.00 | |
| 99212 | 51,633 | 47,327 | $23.46 | |
| 92551 | 4,898 | 4,890 | $0.00 | |
| 99460 | 8,863 | 8,795 | $0.00 | |
| 99462 | 11,006 | 8,610 | $0.00 | |
| 85018 | 6,403 | 6,382 | $0.00 | |
| 90686 | 246 | 246 | $0.00 | |
| 99232 | 1,455 | 828 | $0.00 | |
| 90471 | 15,114 | 15,061 | $0.00 | |
| 99214 | 16,610 | 16,233 | $0.00 | |
| 90651 | 747 | 747 | $0.00 | |
| 90723 | 3,469 | 3,468 | $0.00 | |
| 90474 | 1,982 | 1,981 | $0.00 | |
| Z1032 | 873 | 864 | $0.00 | |
| D1206 | 1,197 | 1,197 | $0.00 | |
| Z6410 | 461 | 339 | $0.00 | |
| 90656 | 6,195 | 6,194 | $0.00 | |
| 90792 | 708 | 706 | $0.00 | |
| Z6402 | 369 | 369 | $0.00 | |
| 99381 | 872 | 871 | $0.00 | |
| 90647 | 3,042 | 3,040 | $0.00 | |
| 90834 | 42 | 39 | $0.00 | |
| 82962 | 299 | 296 | $0.00 | |
| Z1034 | 10,640 | 8,628 | $0.00 | |
| 99000 | 1,449 | 1,444 | $0.00 | |
| 83036 | 624 | 622 | $0.00 | |
| 99239 | 36 | 36 | $0.00 | |
| Z6204 | 402 | 348 | $0.00 | |
| 76815 | 176 | 123 | $0.00 | |
| Z6406 | 485 | 455 | $0.00 | |
| 99202 | 572 | 571 | $0.00 | |
| J3490 | Drugs unclassified injection | 447 | 446 | $0.00 |
| 96110 | 191 | 191 | $0.00 | |
| Z1038 | 531 | 527 | $0.00 | |
| 58300 | 47 | 24 | $0.00 | |
| H0049 | Alcohol/drug screening | 355 | 342 | $0.00 |
| 90716 | 258 | 258 | $0.00 | |
| 90680 | 58 | 58 | $0.00 | |
| 11055 | 29 | 28 | $0.00 | |
| 94640 | 117 | 116 | $0.00 | |
| 99383 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 97 | 96 | $0.00 |
| G2025 | Dis site tele svcs rhc/fqhc | 790 | 722 | $0.00 |
| 99024 | 26 | 26 | $0.00 | |
| 90696 | 96 | 96 | $0.00 | |
| 96372 | 157 | 155 | $0.00 | |
| 99385 | 72 | 72 | $0.00 | |
| 90677 | 27 | 27 | $0.00 | |
| 59514 | 13 | 13 | $0.00 | |
| 90620 | 12 | 12 | $0.00 | |
| J7613 | Albuterol non-comp unit | 15 | 14 | $0.00 |
| 99392 | 12,277 | 12,272 | $0.00 | |
| 99393 | 7,124 | 7,118 | $0.00 | |
| 99173 | 4,645 | 4,644 | $0.00 | |
| 90832 | 5,163 | 4,803 | $0.00 | |
| 99203 | 3,297 | 3,282 | $0.00 | |
| Z6400 | 1,335 | 1,254 | $0.00 | |
| 59025 | 1,138 | 689 | $0.00 | |
| 99238 | 5,780 | 5,725 | $0.00 | |
| 81003 | 8,851 | 7,480 | $0.00 | |
| 81025 | 1,936 | 1,903 | $0.00 | |
| 90700 | 115 | 115 | $0.00 | |
| 90681 | 1,713 | 1,712 | $0.00 | |
| 90633 | 1,643 | 1,642 | $0.00 | |
| 99395 | 1,067 | 1,064 | $0.00 | |
| 99394 | 2,869 | 2,863 | $0.00 | |
| 99391 | 12,719 | 12,640 | $0.00 | |
| 90472 | 2,633 | 2,629 | $0.00 | |
| 99233 | Prolong inpt eval add15 m | 49 | 33 | $0.00 |
| 99222 | 1,904 | 1,890 | $0.00 | |
| 99396 | 511 | 510 | $0.00 | |
| 90734 | 134 | 134 | $0.00 | |
| 90715 | 423 | 423 | $0.00 | |
| 90791 | 1,890 | 1,882 | $0.00 | |
| Z6200 | 326 | 326 | $0.00 | |
| 99204 | 103 | 103 | $0.00 | |
| 86703 | 88 | 88 | $0.00 | |
| 90707 | 216 | 216 | $0.00 | |
| 90670 | 4,211 | 4,210 | $0.00 | |
| 11721 | 660 | 515 | $0.00 | |
| 69209 | 12 | 12 | $0.00 | |
| 11720 | 189 | 187 | $0.00 | |
| Z6414 | 68 | 66 | $0.00 | |
| 11057 | 47 | 47 | $0.00 | |
| 11056 | 293 | 288 | $0.00 | |
| 87880 | 1,419 | 1,417 | $0.00 | |
| 90710 | 127 | 127 | $0.00 | |
| Z6304 | 194 | 190 | $0.00 | |
| 99215 | Prolong outpt/office vis | 15 | 15 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 122 | 121 | $0.00 |
| Z6300 | 149 | 149 | $0.00 | |
| 11981 | 25 | 13 | $0.00 | |
| 97803 | 38 | 38 | $0.00 | |
| 11042 | 47 | 41 | $0.00 | |
| 90662 | 60 | 59 | $0.00 | |
| 99201 | 32 | 32 | $0.00 | |
| A4550 | Surgical trays | 15 | 15 | $0.00 |
| 2028F | 35 | 35 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 265 | 230 | $0.00 |
| J7307 | Etonogestrel implant system | 15 | 15 | $0.00 |
| 99382 | 15 | 15 | $0.00 | |
| 87811 | 13 | 13 | $0.00 | |
| 90837 | 31 | 31 | $0.00 | |
| 99221 | 16 | 16 | $0.00 | |
| 11750 | 39 | 24 | $0.00 |