NPI: 1376687061 · HANFORD, CA 93230 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 727 | $3K |
| 2019 | 447 | $2K |
| 2020 | 139 | $298.21 |
| 2021 | 224 | $787.37 |
| 2022 | 884 | $4K |
| 2023 | 949 | $5K |
| 2024 | 478 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | 1,769 | 1,570 | $15K | |
| 90715 | 251 | 249 | $333.00 | |
| 87491 | 13 | 13 | $280.53 | |
| 87591 | 13 | 13 | $279.63 | |
| 90686 | 315 | 312 | $276.52 | |
| 99000 | 96 | 95 | $166.62 | |
| 90633 | 56 | 56 | $126.00 | |
| 90710 | 79 | 79 | $117.00 | |
| 90651 | 88 | 88 | $108.00 | |
| 90688 | 48 | 48 | $75.90 | |
| 86580 | 335 | 326 | $74.27 | |
| 90696 | 50 | 50 | $54.00 | |
| 86592 | 59 | 58 | $52.82 | |
| 90471 | 302 | 301 | $40.46 | |
| 90619 | 21 | 21 | $36.00 | |
| A4268 | Female condom | 15 | 15 | $33.00 |
| 90734 | 60 | 60 | $27.00 | |
| 90472 | 72 | 72 | $13.46 | |
| 90460 | 116 | 116 | $9.00 | |
| 90656 | 12 | 12 | $0.00 | |
| S5199 | Personal care item nos each | 13 | 13 | $0.00 |
| 90461 | 46 | 46 | $0.00 | |
| 83655 | 19 | 19 | $0.00 |