NPI: 1336106640 · VICTORVILLE, CA 92395 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,597 | $1K |
| 2019 | 2,246 | $719.24 |
| 2020 | 1,737 | $2K |
| 2021 | 1,475 | $199.83 |
| 2022 | 2,976 | $287.33 |
| 2023 | 3,609 | $6K |
| 2024 | 2,567 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 10,913 | 10,559 | $13K | |
| 99233 | Prolong inpt eval add15 m | 14 | 12 | $645.29 |
| 90688 | 79 | 79 | $638.88 | |
| G0008 | Admin influenza virus vac | 61 | 61 | $540.00 |
| 99223 | Prolong inpt eval add15 m | 12 | 12 | $460.65 |
| J1885 | Ketorolac tromethamine inj | 744 | 730 | $275.13 |
| J1040 | Methylprednisolone 80 mg inj | 71 | 70 | $232.77 |
| 99238 | 14 | 12 | $178.06 | |
| J1010 | Inj, methylpred acetate 1 mg | 24 | 24 | $87.65 |
| 81003 | 269 | 266 | $0.00 | |
| 3077F | 498 | 496 | $0.00 | |
| 84439 | 107 | 107 | $0.00 | |
| 3078F | 220 | 215 | $0.00 | |
| 80061 | 249 | 249 | $0.00 | |
| 3015F | 79 | 79 | $0.00 | |
| 82274 | 82 | 82 | $0.00 | |
| 84481 | 15 | 15 | $0.00 | |
| 83036 | 67 | 67 | $0.00 | |
| 3345F | 16 | 16 | $0.00 | |
| 3080F | 136 | 136 | $0.00 | |
| 3074F | 158 | 157 | $0.00 | |
| 3014F | 97 | 97 | $0.00 | |
| 85025 | 130 | 120 | $0.00 | |
| 3075F | 289 | 287 | $0.00 | |
| 80053 | 318 | 308 | $0.00 | |
| 3079F | 533 | 530 | $0.00 | |
| 3008F | 1,537 | 1,523 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 245 | 245 | $0.00 |
| 97802 | 260 | 257 | $0.00 | |
| 99213 | 12 | 12 | $0.00 | |
| 36415 | 400 | 372 | $0.00 | |
| 84443 | 271 | 269 | $0.00 | |
| 82306 | 13 | 13 | $0.00 | |
| 85027 | 211 | 211 | $0.00 | |
| 1220F | 19 | 19 | $0.00 | |
| 99406 | 44 | 44 | $0.00 |