NPI: 1386235125 · POMONA, CA 91767 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 542 | $13K |
| 2022 | 166,107 | $6.73M |
| 2023 | 84,562 | $3.54M |
| 2024 | 609 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0004 | Cov-19 test non-cdc hgh thru | 92,734 | 36,462 | $6.44M |
| G2023 | Specimen collect covid-19 | 83,887 | 35,053 | $1.55M |
| 87635 | 29,718 | 16,349 | $1.40M | |
| U0005 | Infec agen detec ampli probe | 42,608 | 16,897 | $852K |
| 91320 | 129 | 117 | $10K | |
| 0124A | 383 | 383 | $8K | |
| 87426 | 295 | 212 | $8K | |
| 90480 | 148 | 134 | $4K | |
| 90686 | 373 | 369 | $4K | |
| 0004A | 239 | 239 | $3K | |
| 0134A | 83 | 83 | $2K | |
| 10005 | 19 | 19 | $2K | |
| 0072A | 129 | 129 | $851.31 | |
| 0071A | 89 | 88 | $683.89 | |
| 99212 | 120 | 120 | $642.91 | |
| 90715 | 76 | 76 | $620.20 | |
| 83655 | 87 | 87 | $505.94 | |
| 0081A | 27 | 27 | $339.00 | |
| G0008 | Admin influenza virus vac | 411 | 400 | $285.64 |
| 0073A | 18 | 18 | $283.91 | |
| 0154A | 25 | 25 | $238.80 | |
| 0053A | 87 | 86 | $89.42 | |
| 90460 | 25 | 25 | $78.30 | |
| 85018 | 28 | 28 | $22.77 | |
| 90461 | 14 | 14 | $9.00 | |
| 99173 | 32 | 32 | $0.00 | |
| 36416 | 36 | 36 | $0.00 |