NPI: 1417454844 · RANCHO CUCAMONGA, CA 91701 · 261QP2000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 673 | $30K |
| 2020 | 3,729 | $148K |
| 2021 | 2,799 | $111K |
| 2022 | 3,415 | $146K |
| 2023 | 6,140 | $242K |
| 2024 | 14,608 | $553K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 16,101 | 12,012 | $610K | |
| 99204 | 6,350 | 6,344 | $443K | |
| 99213 | 3,646 | 3,351 | $97K | |
| 99203 | 914 | 912 | $53K | |
| G2023 | Specimen collect covid-19 | 959 | 903 | $13K |
| 99215 | Prolong outpt/office vis | 159 | 150 | $9K |
| 99205 | Prolong outpt/office vis | 42 | 42 | $4K |
| 87635 | 32 | 27 | $1K | |
| S9083 | Urgent care center global | 21 | 15 | $357.00 |
| 0241U | 1,917 | 1,861 | $142.63 | |
| 73130 | 14 | 12 | $92.37 | |
| 81015 | 691 | 662 | $36.45 | |
| 96372 | 188 | 136 | $18.56 | |
| 81025 | 109 | 109 | $0.00 | |
| 81002 | 192 | 179 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 14 | 14 | $0.00 |
| J0696 | Ceftriaxone sodium injection | 15 | 14 | $0.00 |