NPI: 1417211426 · POMONA, CA 91767 · 261QC1500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,045 | $1.72M |
| 2019 | 15,138 | $1.76M |
| 2020 | 29,714 | $2.79M |
| 2021 | 32,364 | $3.07M |
| 2022 | 21,270 | $2.15M |
| 2023 | 29,956 | $2.87M |
| 2024 | 21,862 | $1.80M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 73,293 | 62,296 | $12.11M |
| 00003 | 19,358 | 13,804 | $3.84M | |
| 90834 | 2,286 | 932 | $54K | |
| 90832 | 4,563 | 1,696 | $49K | |
| 99214 | 20,797 | 18,864 | $47K | |
| 99213 | 12,604 | 11,490 | $15K | |
| 0011A | 175 | 173 | $12K | |
| 0012A | 163 | 158 | $11K | |
| 98941 | 2,437 | 1,535 | $9K | |
| 90791 | 219 | 172 | $6K | |
| 0013A | 62 | 62 | $4K | |
| 0001A | 59 | 59 | $4K | |
| 99212 | 1,762 | 1,619 | $2K | |
| 0002A | 36 | 36 | $2K | |
| G0467 | Fqhc visit, estab pt | 43 | 39 | $1K |
| 81025 | 1,619 | 1,523 | $414.32 | |
| 92551 | 741 | 712 | $220.13 | |
| 81002 | 2,823 | 2,126 | $119.40 | |
| 90472 | 714 | 685 | $51.00 | |
| 90471 | 2,230 | 2,154 | $44.60 | |
| 90674 | 60 | 58 | $30.00 | |
| 85018 | 2,598 | 2,445 | $28.66 | |
| 83036 | 1,193 | 1,156 | $8.45 | |
| 82962 | 1,013 | 953 | $3.96 | |
| 99408 | 871 | 846 | $0.00 | |
| 0502F | 2,205 | 1,520 | $0.00 | |
| 4274F | 198 | 185 | $0.00 | |
| Z6400 | 573 | 497 | $0.00 | |
| 99215 | Prolong outpt/office vis | 209 | 195 | $0.00 |
| Z6300 | 133 | 131 | $0.00 | |
| 99173 | 2,055 | 1,986 | $0.00 | |
| 99204 | 313 | 309 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 90 | 90 | $0.00 |
| Z6200 | 135 | 132 | $0.00 | |
| 99393 | 42 | 40 | $0.00 | |
| 3078F | 74 | 70 | $0.00 | |
| Z6304 | 12 | 12 | $0.00 | |
| G2023 | Specimen collect covid-19 | 264 | 262 | $0.00 |
| 99395 | 26 | 26 | $0.00 | |
| 90661 | 22 | 21 | $0.00 | |
| 99203 | 42 | 41 | $0.00 | |
| 99392 | 46 | 43 | $0.00 | |
| 90715 | 52 | 51 | $0.00 | |
| 83655 | 49 | 49 | $0.00 | |
| 2028F | 14 | 14 | $0.00 | |
| 3725F | 15 | 15 | $0.00 | |
| 99211 | 63 | 54 | $0.00 | |
| 99201 | 18 | 18 | $0.00 | |
| 90756 | 28 | 28 | $0.00 | |
| 99396 | 14 | 14 | $0.00 | |
| 90670 | 14 | 14 | $0.00 | |
| 1036F | 93 | 87 | $0.00 | |
| H0049 | Alcohol/drug screening | 1,258 | 1,219 | $0.00 |
| 92250 | 16 | 14 | $0.00 | |
| 3008F | 159 | 151 | $0.00 | |
| 0500F | 38 | 37 | $0.00 | |
| 1126F | 106 | 100 | $0.00 | |
| 99202 | 137 | 134 | $0.00 | |
| 90686 | 390 | 379 | $0.00 | |
| Z6402 | 135 | 133 | $0.00 | |
| Z1034 | 406 | 304 | $0.00 | |
| Z6204 | 12 | 12 | $0.00 | |
| 99386 | 14 | 14 | $0.00 | |
| Z6404 | 12 | 12 | $0.00 | |
| 90723 | 14 | 14 | $0.00 | |
| 3074F | 65 | 61 | $0.00 | |
| 99385 | 16 | 16 | $0.00 | |
| 90480 | 14 | 12 | $0.00 | |
| 90647 | 14 | 14 | $0.00 | |
| 90656 | 25 | 25 | $0.00 |