NPI: 1336804939 · FRESNO, CA 93727 · Case Manager/Care Coordinator · NPI assigned 11/08/2021
Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
| Authorized Official | LOPEZ, MARY LOU (DIRECTOR OF BILLING) |
| NPI Enumeration Date | 11/08/2021 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 11,129 | $727K |
| 2023 | 125,827 | $4.52M |
| 2024 | 209,027 | $6.93M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 49,824 | 41,051 | $8.44M |
| 00003 | Internal/system code - not a standard HCPCS code | 17,616 | 12,933 | $3.70M |
| 90834 | Psychotherapy, 45 minutes with patient | 857 | 478 | $17K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 7,746 | 4,087 | $9K |
| 90832 | Psychotherapy, 30 minutes with patient | 492 | 381 | $6K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39,472 | 28,176 | $6K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,262 | 2,574 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,176 | 867 | $426.78 |
| G9920 | Screening performed and negative | 345 | 247 | $377.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1,647 | 1,251 | $289.70 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2,484 | 2,452 | $213.91 |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 939 | 815 | $154.22 |
| 90688 | 164 | 145 | $21.56 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 159 | 156 | $14.58 |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,242 | 1,228 | $8.54 |
| 81003 | 2,071 | 1,664 | $7.84 | |
| 99215 | Prolong outpt/office vis | 39 | 34 | $7.22 |
| 81025 | 585 | 494 | $5.60 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 567 | 510 | $0.02 |
| 1160F | 12,297 | 8,435 | $0.00 | |
| 1159F | 12,301 | 8,437 | $0.00 | |
| 92015 | Determination of refractive state | 3,787 | 3,742 | $0.00 |
| 3078F | 17,628 | 14,049 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 579 | 577 | $0.00 |
| 3725F | 24,835 | 18,980 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 198 | 193 | $0.00 |
| D0270 | 406 | 398 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 872 | 606 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,982 | 1,688 | $0.00 |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | 684 | 542 | $0.00 |
| D1110 | Prophylaxis - adult | 495 | 492 | $0.00 |
| 99173 | 915 | 772 | $0.00 | |
| D2999 | 34 | 29 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 1,441 | 1,395 | $0.00 |
| D9430 | 1,157 | 1,098 | $0.00 | |
| 3077F | 1,794 | 1,426 | $0.00 | |
| 90715 | 348 | 339 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 364 | 348 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 154 | 139 | $0.00 |
| D1120 | Prophylaxis - child | 602 | 598 | $0.00 |
| D4341 | 604 | 333 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 214 | 211 | $0.00 |
| 90649 | 25 | 24 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 27 | 14 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 91 | 89 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 32 | 30 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 83 | 77 | $0.00 |
| 90633 | 17 | 14 | $0.00 | |
| 72100 | 28 | 28 | $0.00 | |
| 92133 | 54 | 39 | $0.00 | |
| D0330 | Panoramic radiographic image | 31 | 29 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,366 | 1,352 | $0.00 |
| 3075F | 4,667 | 3,839 | $0.00 | |
| 3074F | 18,891 | 14,954 | $0.00 | |
| 1036F | 29,523 | 21,424 | $0.00 | |
| 3079F | 7,413 | 6,006 | $0.00 | |
| 1126F | 19,748 | 15,658 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 247 | 158 | $0.00 |
| 1034F | 1,714 | 1,194 | $0.00 | |
| 3008F | 27,398 | 21,153 | $0.00 | |
| 1125F | 4,311 | 3,289 | $0.00 | |
| D0602 | 207 | 206 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 844 | 674 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 689 | 686 | $0.00 |
| 92551 | 974 | 819 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 707 | 701 | $0.00 |
| 3080F | 489 | 373 | $0.00 | |
| D0603 | 1,049 | 1,042 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 1,120 | 1,107 | $0.00 |
| 85018 | 1,132 | 990 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 919 | 779 | $0.00 |
| 87428 | 176 | 170 | $0.00 | |
| D9310 | 235 | 210 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 144 | 129 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4,549 | 1,083 | $0.00 |
| D1206 | Topical application of fluoride varnish | 226 | 224 | $0.00 |
| Z1034 | 367 | 288 | $0.00 | |
| 93000 | 520 | 392 | $0.00 | |
| 99205 | Prolong outpt/office vis | 193 | 164 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 993 | 983 | $0.00 |
| 92250 | 55 | 55 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 68 | 65 | $0.00 |
| 99385 | 64 | 59 | $0.00 | |
| 90619 | 12 | 12 | $0.00 | |
| 92002 | 70 | 70 | $0.00 | |
| 99384 | 19 | 13 | $0.00 | |
| 90677 | 12 | 12 | $0.00 | |
| 90656 | 24 | 24 | $0.00 | |
| D1351 | Sealant - per tooth | 48 | 13 | $0.00 |
| D4342 | 22 | 12 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $0.00 |