NPI: 1427446053 · LODI, CA 95240 · 261QM2500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,710 | $143K |
| 2019 | 2,180 | $101K |
| 2020 | 1,063 | $44K |
| 2021 | 1,172 | $51K |
| 2022 | 1,242 | $58K |
| 2023 | 1,500 | $57K |
| 2024 | 978 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,407 | 3,156 | $116K | |
| J1100 | Dexamethasone sodium phos | 1,308 | 1,247 | $82K |
| J3010 | Fentanyl citrate injection | 1,130 | 1,044 | $56K |
| 77003 | 762 | 711 | $54K | |
| 64635 | 179 | 163 | $40K | |
| 99152 | 772 | 715 | $37K | |
| 64636 | 127 | 122 | $21K | |
| 99153 | Mod sedat endo service >5yrs | 759 | 705 | $15K |
| 64493 | 105 | 57 | $14K | |
| 27096 | 35 | 24 | $11K | |
| 76942 | 216 | 190 | $6K | |
| J1030 | Methylprednisolone 40 mg inj | 462 | 416 | $6K |
| 99204 | 80 | 80 | $6K | |
| 64495 | 104 | 57 | $5K | |
| 64494 | 103 | 57 | $4K | |
| J2250 | Inj midazolam hydrochloride | 699 | 654 | $4K |
| 72275 | 41 | 41 | $4K | |
| 99205 | Prolong outpt/office vis | 27 | 27 | $3K |
| J1040 | Methylprednisolone 80 mg inj | 134 | 124 | $3K |
| 62323 | 12 | 12 | $3K | |
| 76881 | 18 | 18 | $3K | |
| J0702 | Betamethasone acet&sod phosp | 41 | 39 | $2K |
| 99213 | 63 | 60 | $1K | |
| 62370 | 31 | 25 | $535.11 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 230 | 223 | $97.81 |