NPI: 1417407636 · MANTECA, CA 95336 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,513 | $31K |
| 2019 | 14,700 | $674K |
| 2020 | 11,152 | $559K |
| 2023 | 8,212 | $522K |
| 2024 | 20,062 | $1.13M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 25,240 | 21,108 | $2.67M |
| 99213 | 18,122 | 15,932 | $154K | |
| 99203 | 757 | 756 | $22K | |
| 99212 | 4,763 | 4,412 | $17K | |
| 99214 | 1,194 | 1,138 | $10K | |
| 90686 | 1,038 | 1,028 | $9K | |
| 99173 | 892 | 890 | $5K | |
| 90471 | 467 | 455 | $4K | |
| 92551 | 926 | 926 | $3K | |
| 99205 | Prolong outpt/office vis | 120 | 119 | $3K |
| 99391 | 157 | 156 | $2K | |
| 99188 | 95 | 95 | $2K | |
| 99392 | 456 | 453 | $2K | |
| 90715 | 80 | 80 | $2K | |
| G9920 | Scrning perf and negative | 46 | 46 | $2K |
| 99204 | 62 | 61 | $1K | |
| 99215 | Prolong outpt/office vis | 404 | 392 | $1K |
| 81002 | 267 | 240 | $1K | |
| 99393 | 100 | 100 | $836.92 | |
| 90723 | 70 | 69 | $820.02 | |
| 90670 | 190 | 188 | $802.90 | |
| 96372 | 38 | 36 | $787.50 | |
| 92081 | 18 | 18 | $747.36 | |
| 99211 | 67 | 66 | $513.36 | |
| 99202 | 80 | 80 | $296.04 | |
| D1206 | 12 | 12 | $288.00 | |
| 99383 | 51 | 51 | $207.27 | |
| 85018 | 83 | 83 | $198.40 | |
| 99394 | 63 | 63 | $178.75 | |
| 90651 | 139 | 139 | $90.68 | |
| 90648 | 110 | 106 | $82.11 | |
| 90633 | 111 | 111 | $49.44 | |
| 90620 | 12 | 12 | $38.88 | |
| 1159F | 273 | 248 | $0.00 | |
| 90685 | 12 | 12 | $0.00 | |
| 81025 | 38 | 36 | $0.00 | |
| 1160F | 92 | 89 | $0.00 | |
| 90734 | 28 | 28 | $0.00 | |
| 3078F | 93 | 89 | $0.00 | |
| 90710 | 12 | 12 | $0.00 | |
| 90696 | 13 | 13 | $0.00 | |
| 3008F | 374 | 357 | $0.00 | |
| 1126F | 31 | 29 | $0.00 | |
| 1036F | 221 | 212 | $0.00 | |
| 3074F | 142 | 138 | $0.00 | |
| 99385 | 13 | 13 | $0.00 | |
| 99384 | 26 | 26 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 15 | 15 | $0.00 |
| 3079F | 14 | 13 | $0.00 | |
| 90677 | 12 | 12 | $0.00 |