NPI: 1417370032 · SAN RAFAEL, CA 94901 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,892 | $831K |
| 2019 | 5,888 | $454K |
| 2020 | 9,988 | $896K |
| 2021 | 7,814 | $684K |
| 2022 | 7,714 | $646K |
| 2023 | 18,673 | $1.65M |
| 2024 | 19,174 | $1.95M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 31,301 | 19,051 | $6.30M |
| 90834 | 10,424 | 2,515 | $287K | |
| G9012 | Other specified case mgmt | 933 | 539 | $214K |
| 99214 | 11,211 | 5,629 | $167K | |
| 99213 | 11,583 | 6,630 | $57K | |
| 90832 | 2,822 | 814 | $44K | |
| 90791 | 213 | 100 | $10K | |
| 99205 | Prolong outpt/office vis | 143 | 95 | $9K |
| 90837 | 211 | 71 | $7K | |
| 99215 | Prolong outpt/office vis | 641 | 385 | $6K |
| 99212 | 2,432 | 1,572 | $4K | |
| 0011A | 84 | 47 | $2K | |
| 0012A | 75 | 54 | $880.01 | |
| 99396 | 24 | 12 | $659.76 | |
| 90655 | 36 | 26 | $640.71 | |
| 99204 | 44 | 25 | $591.48 | |
| 99283 | 1,339 | 1,031 | $335.94 | |
| 0013A | 12 | 12 | $320.00 | |
| 90653 | 13 | 12 | $275.00 | |
| G0467 | Fqhc visit, estab pt | 1,256 | 972 | $245.47 |
| 99203 | 21 | 13 | $114.40 | |
| 86580 | 21 | 12 | $26.88 | |
| 99211 | 32 | 24 | $24.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 37 | 26 | $0.00 |
| 90471 | 25 | 24 | $0.00 | |
| 91301 | 67 | 57 | $0.00 | |
| 91300 | 31 | 31 | $0.00 | |
| G0470 | Fqhc visit, mh estab pt | 99 | 38 | $0.00 |
| 3078F | 13 | 13 | $0.00 |