NPI: 1366197956 · CHULA VISTA, CA 91911 · 261QH0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,353 | $35K |
| 2023 | 2,930 | $121K |
| 2024 | 5,112 | $1.36M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J9306 | Injection, pertuzumab, 1 mg | 90 | 63 | $544K |
| Q5108 | Injection, fulphila | 266 | 188 | $339K |
| Q5114 | Inj ogivri 10 mg | 77 | 53 | $196K |
| J9271 | Inj pembrolizumab | 19 | 14 | $181K |
| 96413 | 1,567 | 1,015 | $67K | |
| 96367 | 769 | 510 | $39K | |
| 99214 | 950 | 915 | $38K | |
| 96417 | 771 | 496 | $31K | |
| 96372 | 1,096 | 719 | $24K | |
| J9202 | Goserelin acetate implant | 25 | 25 | $20K |
| 96368 | 554 | 334 | $9K | |
| 96415 | 176 | 128 | $8K | |
| 96375 | 264 | 186 | $6K | |
| 99215 | Prolong outpt/office vis | 75 | 67 | $5K |
| 96365 | 73 | 66 | $4K | |
| J2469 | Palonosetron hcl | 306 | 177 | $3K |
| 99204 | 32 | 32 | $2K | |
| 85025 | 352 | 272 | $2K | |
| J1100 | Dexamethasone sodium phos | 854 | 534 | $2K |
| J1453 | Fosaprepitant injection | 61 | 39 | $1K |
| 96402 | 59 | 56 | $507.59 | |
| J3489 | Zoledronic acid 1mg | 13 | 12 | $313.89 |
| 36415 | 863 | 698 | $125.40 | |
| J1200 | Diphenhydramine hcl injectio | 83 | 45 | $90.19 |