NPI: 1346563673 · PALMDALE, CA 93550 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 37,644 | $3.08M |
| 2019 | 5,922 | $568K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 25,537 | 21,157 | $2.81M |
| 00003 | 5,717 | 3,125 | $797K | |
| 99213 | 1,133 | 1,064 | $12K | |
| 99392 | 265 | 264 | $7K | |
| G0467 | Fqhc visit, estab pt | 41 | 40 | $5K |
| 92551 | 661 | 657 | $3K | |
| 99393 | 161 | 160 | $3K | |
| 99394 | 30 | 30 | $2K | |
| 99391 | 39 | 39 | $1K | |
| D1206 | 578 | 506 | $1K | |
| D1120 | 368 | 327 | $1K | |
| D0120 | 787 | 687 | $1K | |
| 90670 | 116 | 116 | $927.00 | |
| 90647 | 70 | 70 | $621.00 | |
| D0220 | 915 | 780 | $489.00 | |
| 90686 | 214 | 213 | $405.00 | |
| D2391 | 56 | 41 | $353.60 | |
| D0150 | 91 | 82 | $275.00 | |
| 90633 | 56 | 56 | $216.00 | |
| D0272 | 203 | 175 | $178.00 | |
| D2392 | 76 | 57 | $169.50 | |
| 83655 | 35 | 35 | $132.44 | |
| 85018 | 527 | 524 | $120.15 | |
| D0230 | 677 | 577 | $119.40 | |
| 90723 | 13 | 13 | $117.00 | |
| 90734 | 12 | 12 | $108.00 | |
| 90649 | 12 | 12 | $108.00 | |
| D7140 | 55 | 28 | $90.20 | |
| D0274 | 155 | 137 | $79.20 | |
| D1110 | 14 | 13 | $51.00 | |
| D0210 | 32 | 30 | $44.00 | |
| D0270 | 19 | 12 | $11.50 | |
| 3015F | 15 | 12 | $0.00 | |
| D9993 | 14 | 13 | $0.00 | |
| 99173 | 347 | 347 | $0.00 | |
| 99401 | 177 | 176 | $0.00 | |
| 3078F | 122 | 114 | $0.00 | |
| 90710 | 17 | 12 | $0.00 | |
| 99212 | 117 | 115 | $0.00 | |
| 3725F | 42 | 39 | $0.00 | |
| 90700 | 12 | 12 | $0.00 | |
| D9430 | 13 | 12 | $0.00 | |
| 3008F | 1,612 | 1,543 | $0.00 | |
| D0603 | 563 | 506 | $0.00 | |
| D0140 | 117 | 101 | $0.00 | |
| 3074F | 151 | 144 | $0.00 | |
| D1330 | 668 | 588 | $0.00 | |
| 97802 | 178 | 177 | $0.00 | |
| 90657 | 19 | 19 | $0.00 | |
| 99172 | 49 | 48 | $0.00 | |
| 1036F | 171 | 163 | $0.00 | |
| 96110 | 176 | 175 | $0.00 | |
| 1126F | 170 | 165 | $0.00 | |
| 99214 | 14 | 14 | $0.00 | |
| 1125F | 49 | 44 | $0.00 | |
| 85032 | 50 | 50 | $0.00 | |
| D1310 | 13 | 12 | $0.00 | |
| D5899 | 25 | 13 | $0.00 |