NPI: 1407914260 · ROUND MOUNTAIN, CA 96084 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 37,742 | $3.83M |
| 2019 | 43,307 | $3.63M |
| 2020 | 52,147 | $4.10M |
| 2021 | 57,587 | $4.96M |
| 2022 | 54,802 | $4.72M |
| 2023 | 80,731 | $7.35M |
| 2024 | 64,634 | $5.96M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 128,651 | 101,092 | $23.87M |
| 00003 | 32,172 | 28,050 | $8.29M | |
| G9012 | Other specified case mgmt | 5,477 | 3,124 | $1.05M |
| 90837 | 15,832 | 5,757 | $359K | |
| 90834 | 7,866 | 3,759 | $177K | |
| 98940 | 15,700 | 4,960 | $158K | |
| H0043 | Supported housing, per diem | 344 | 336 | $133K |
| 99214 | 34,635 | 22,148 | $113K | |
| 80305 | 15,658 | 9,374 | $106K | |
| 99213 | 90,350 | 64,953 | $84K | |
| 98941 | 4,777 | 2,764 | $61K | |
| 90832 | 4,870 | 2,318 | $59K | |
| 96372 | 2,909 | 2,198 | $37K | |
| 99203 | 2,026 | 1,940 | $9K | |
| 90686 | 340 | 299 | $5K | |
| 90791 | 193 | 134 | $4K | |
| 87635 | 88 | 46 | $4K | |
| 90792 | 113 | 76 | $4K | |
| 99202 | 549 | 520 | $3K | |
| 83036 | 468 | 319 | $2K | |
| 99204 | 204 | 182 | $2K | |
| 90670 | 31 | 25 | $1K | |
| 99393 | 332 | 193 | $1K | |
| 93010 | 118 | 106 | $1K | |
| 99392 | 347 | 256 | $897.36 | |
| 99283 | 2,397 | 2,302 | $882.63 | |
| J1885 | Ketorolac tromethamine inj | 179 | 155 | $738.77 |
| 0064A | 15 | 15 | $502.50 | |
| 81002 | 1,686 | 1,318 | $478.76 | |
| 99391 | 35 | 25 | $381.59 | |
| 99394 | 104 | 56 | $274.15 | |
| 90658 | 15 | 15 | $253.35 | |
| 87880 | 926 | 504 | $237.66 | |
| 81025 | 57 | 54 | $151.20 | |
| 90647 | 20 | 14 | $126.00 | |
| 93005 | 162 | 149 | $122.21 | |
| 92552 | 278 | 275 | $67.18 | |
| 99212 | 1,089 | 715 | $56.11 | |
| 90471 | 68 | 65 | $22.30 | |
| 82962 | 19 | 13 | $18.03 | |
| 85018 | 29 | 27 | $12.42 | |
| D0220 | 1,495 | 1,337 | $0.00 | |
| D1110 | 1,768 | 1,759 | $0.00 | |
| 99173 | 287 | 287 | $0.00 | |
| D1120 | 770 | 770 | $0.00 | |
| D2391 | 580 | 390 | $0.00 | |
| D0277 | 311 | 311 | $0.00 | |
| D0330 | 799 | 799 | $0.00 | |
| D4910 | 244 | 243 | $0.00 | |
| D0270 | 394 | 342 | $0.00 | |
| 99215 | Prolong outpt/office vis | 108 | 74 | $0.00 |
| D9430 | 955 | 744 | $0.00 | |
| DENTA | Facility svs dental rehab | 36 | 36 | $0.00 |
| 99442 | 176 | 173 | $0.00 | |
| 90461 | 33 | 25 | $0.00 | |
| D0274 | 204 | 204 | $0.00 | |
| 90460 | 130 | 77 | $0.00 | |
| D2740 | 14 | 12 | $0.00 | |
| D5110 | 29 | 29 | $0.00 | |
| D4341 | 17 | 12 | $0.00 | |
| 11056 | 15 | 15 | $0.00 | |
| D1206 | 1,648 | 1,648 | $0.00 | |
| D2392 | 250 | 217 | $0.00 | |
| Q3014 | Telehealth facility fee | 411 | 373 | $0.00 |
| D1330 | 4,497 | 4,402 | $0.00 | |
| D0603 | 508 | 508 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 24 | 24 | $0.00 |
| D0150 | 547 | 545 | $0.00 | |
| D0230 | 283 | 161 | $0.00 | |
| D0140 | 1,020 | 1,016 | $0.00 | |
| D0120 | 1,134 | 1,128 | $0.00 | |
| D7140 | 460 | 309 | $0.00 | |
| 36415 | 251 | 248 | $0.00 | |
| D0210 | 335 | 335 | $0.00 | |
| T1014 | Telehealth transmit, per min | 39 | 29 | $0.00 |
| 90688 | 12 | 12 | $0.00 | |
| D0602 | 12 | 12 | $0.00 | |
| 99443 | 12 | 12 | $0.00 | |
| D5120 | 13 | 12 | $0.00 |