NPI: 1396763348 · BANNING, CA 92220 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27,792 | $83.83 |
| 2019 | 35,693 | $300.66 |
| 2020 | 41,578 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0003 | Cov-19 amp prb hgh thruput | 352 | 343 | $35K |
| 86769 | 13 | 13 | $715.00 | |
| 87635 | 35 | 34 | $359.17 | |
| 87799 | 4,161 | 1,370 | $182.78 | |
| 87661 | 1,329 | 1,310 | $125.46 | |
| 87481 | 4,441 | 1,097 | $112.28 | |
| 88305 | 851 | 825 | $78.65 | |
| 99001 | 119 | 92 | $70.00 | |
| 87512 | 1,382 | 1,357 | $37.12 | |
| 87624 | 1,169 | 1,168 | $28.07 | |
| 87070 | 413 | 405 | $15.02 | |
| 86003 | 66 | 65 | $14.51 | |
| 82274 | 876 | 867 | $14.29 | |
| 83655 | 544 | 544 | $10.63 | |
| 85027 | 1,230 | 1,216 | $5.71 | |
| 85610 | 1,106 | 959 | $0.00 | |
| 80307 | 176 | 162 | $0.00 | |
| 84460 | 403 | 397 | $0.00 | |
| 86038 | 269 | 262 | $0.00 | |
| 87491 | 3,594 | 3,513 | $0.00 | |
| 81003 | 229 | 228 | $0.00 | |
| 82570 | 1,887 | 1,848 | $0.00 | |
| 87186 | 659 | 634 | $0.00 | |
| 84146 | 263 | 263 | $0.00 | |
| 82465 | 99 | 98 | $0.00 | |
| 80061 | 7,192 | 7,140 | $0.00 | |
| 86787 | 245 | 245 | $0.00 | |
| 88175 | 1,461 | 1,459 | $0.00 | |
| 84100 | 185 | 174 | $0.00 | |
| 83540 | 1,197 | 1,187 | $0.00 | |
| 86431 | 135 | 133 | $0.00 | |
| 84439 | 1,293 | 1,276 | $0.00 | |
| 83721 | 151 | 150 | $0.00 | |
| 84550 | 629 | 622 | $0.00 | |
| 86708 | 85 | 85 | $0.00 | |
| 82248 | 182 | 182 | $0.00 | |
| 85045 | 39 | 39 | $0.00 | |
| 86696 | 12 | 12 | $0.00 | |
| 87502 | 13 | 13 | $0.00 | |
| 86765 | 24 | 24 | $0.00 | |
| 84403 | 320 | 317 | $0.00 | |
| 84702 | 132 | 110 | $0.00 | |
| 80076 | 112 | 109 | $0.00 | |
| 84481 | 105 | 104 | $0.00 | |
| 83516 | 25 | 13 | $0.00 | |
| 84165 | 13 | 13 | $0.00 | |
| 83970 | 16 | 16 | $0.00 | |
| 99199 | 39 | 30 | $0.00 | |
| 83718 | 26 | 26 | $0.00 | |
| 88312 | 14 | 14 | $0.00 | |
| 84450 | 12 | 12 | $0.00 | |
| 86735 | 17 | 17 | $0.00 | |
| 87880 | 12 | 12 | $0.00 | |
| 84156 | 14 | 12 | $0.00 | |
| 86200 | 12 | 12 | $0.00 | |
| 85025 | 6,527 | 6,076 | $0.00 | |
| 83001 | 337 | 335 | $0.00 | |
| 87077 | 628 | 606 | $0.00 | |
| 82607 | 1,019 | 1,011 | $0.00 | |
| 82746 | 720 | 717 | $0.00 | |
| 85730 | 714 | 696 | $0.00 | |
| 87340 | 619 | 616 | $0.00 | |
| 82728 | 1,316 | 1,306 | $0.00 | |
| 86803 | 1,774 | 1,766 | $0.00 | |
| 87086 | 2,708 | 2,565 | $0.00 | |
| 80053 | 6,849 | 6,519 | $0.00 | |
| 87081 | 727 | 720 | $0.00 | |
| 80050 | 3,138 | 3,120 | $0.00 | |
| 87389 | 1,616 | 1,609 | $0.00 | |
| 82043 | 2,198 | 2,178 | $0.00 | |
| 84443 | 2,644 | 2,613 | $0.00 | |
| 87591 | 3,581 | 3,500 | $0.00 | |
| 86706 | 166 | 166 | $0.00 | |
| 81001 | 4,207 | 4,078 | $0.00 | |
| 83036 | 6,812 | 6,768 | $0.00 | |
| 83690 | 65 | 62 | $0.00 | |
| 84154 | 13 | 13 | $0.00 | |
| 82670 | 61 | 60 | $0.00 | |
| 87088 | 2,043 | 1,952 | $0.00 | |
| 82550 | 264 | 258 | $0.00 | |
| 82306 | 2,679 | 2,663 | $0.00 | |
| 83735 | 215 | 204 | $0.00 | |
| 82784 | 27 | 27 | $0.00 | |
| 84153 | 600 | 581 | $0.00 | |
| 36415 | 4,244 | 3,776 | $0.00 | |
| 86592 | 1,583 | 1,572 | $0.00 | |
| 80048 | 1,984 | 1,889 | $0.00 | |
| 85652 | 967 | 941 | $0.00 | |
| 84436 | 37 | 37 | $0.00 | |
| 86140 | 752 | 734 | $0.00 | |
| 84402 | 37 | 37 | $0.00 | |
| 86704 | 121 | 121 | $0.00 | |
| 83550 | 1,010 | 1,000 | $0.00 | |
| 83002 | 212 | 211 | $0.00 | |
| 82950 | 230 | 230 | $0.00 | |
| 83021 | 68 | 68 | $0.00 | |
| 87147 | 27 | 27 | $0.00 | |
| 88142 | 16 | 16 | $0.00 | |
| 80081 | 29 | 29 | $0.00 | |
| 88141 | 26 | 26 | $0.00 | |
| 86762 | 17 | 17 | $0.00 | |
| 86780 | 29 | 28 | $0.00 | |
| 83615 | 16 | 16 | $0.00 | |
| 87503 | 13 | 13 | $0.00 |