NPI: 1447444294 · LOS ANGELES, CA 90012 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 681 | $9K |
| 2021 | 83,121 | $2.76M |
| 2022 | 14,851 | $313K |
| 2023 | 17,160 | $353K |
| 2024 | 380 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 36,118 | 36,118 | $1.38M | |
| 0001A | 40,559 | 40,557 | $1.22M | |
| 91322 | 843 | 842 | $94K | |
| 99211 | 4,447 | 3,940 | $86K | |
| 99385 | 619 | 607 | $79K | |
| 0031A | 1,558 | 1,558 | $62K | |
| 0012A | 1,751 | 1,751 | $50K | |
| 0004A | 1,188 | 1,188 | $48K | |
| 87389 | 2,540 | 2,457 | $44K | |
| 0011A | 2,028 | 2,028 | $40K | |
| 0003A | 910 | 910 | $36K | |
| 90480 | 809 | 808 | $31K | |
| 0013A | 761 | 761 | $30K | |
| 86803 | 2,268 | 2,183 | $26K | |
| 86704 | 1,902 | 1,841 | $18K | |
| 90716 | 200 | 178 | $16K | |
| 86780 | 927 | 878 | $16K | |
| 87340 | 1,909 | 1,848 | $16K | |
| 80061 | 1,170 | 1,125 | $12K | |
| 85025 | 1,956 | 1,891 | $12K | |
| 86480 | 383 | 327 | $11K | |
| 86702 | 1,118 | 1,058 | $10K | |
| 86701 | 1,446 | 1,364 | $9K | |
| 0124A | 219 | 219 | $9K | |
| 99202 | 311 | 302 | $9K | |
| 99386 | 58 | 56 | $8K | |
| 87535 | 477 | 417 | $7K | |
| 82947 | 2,235 | 2,147 | $7K | |
| 0450 | 221 | 206 | $7K | |
| 0134A | 119 | 119 | $5K | |
| J0561 | Penicillin g benzathine inj | 19 | 12 | $5K |
| 90746 | 44 | 44 | $3K | |
| 86481 | 59 | 49 | $3K | |
| 90686 | 190 | 190 | $3K | |
| 86593 | 888 | 843 | $3K | |
| 86592 | 885 | 840 | $3K | |
| 87491 | 77 | 75 | $2K | |
| 99213 | 102 | 93 | $2K | |
| 99383 | 15 | 15 | $2K | |
| 71045 | 229 | 222 | $2K | |
| 99283 | 56 | 53 | $2K | |
| 99442 | 147 | 144 | $2K | |
| 99201 | 27 | 27 | $1K | |
| 86706 | 291 | 231 | $1K | |
| 87661 | 68 | 68 | $1K | |
| 36415 | 1,287 | 1,167 | $1K | |
| 90707 | 15 | 15 | $1K | |
| 90713 | 29 | 28 | $667.35 | |
| 90715 | 28 | 28 | $618.79 | |
| 0034A | 15 | 15 | $600.00 | |
| 86705 | 92 | 61 | $519.44 | |
| 99441 | 108 | 106 | $468.66 | |
| 90471 | 191 | 177 | $427.88 | |
| 99212 | 28 | 28 | $337.10 | |
| 90633 | 33 | 33 | $292.50 | |
| 86580 | 59 | 57 | $148.28 | |
| 90744 | 12 | 12 | $108.00 | |
| 90472 | 31 | 28 | $94.07 | |
| 0250 | 106 | 97 | $0.02 | |
| 91321 | 12 | 12 | $0.00 |