NPI: 1457974206 · FRESNO, CA 93721 · Federally Qualified Health Center (FQHC) · NPI assigned 05/27/2020
Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
| Authorized Official | LOPEZ, MARY LOU (DIRECTOR OF CENTRAL OPERATIONS) |
| NPI Enumeration Date | 05/27/2020 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,262 | $805.60 |
| 2021 | 26,194 | $36K |
| 2022 | 8,363 | $12K |
| 2023 | 7,068 | $3K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 233 | 193 | $14K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2,022 | 2,022 | $9K |
| 90832 | Psychotherapy, 30 minutes with patient | 135 | 122 | $7K |
| V2020 | Frames, purchases | 5,074 | 5,069 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4,199 | 4,197 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4,042 | 4,039 | $5K |
| 92015 | Determination of refractive state | 6,337 | 6,336 | $3K |
| 98940 | 5,907 | 3,778 | $2K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,245 | 7,694 | $412.34 |
| 92341 | 544 | 542 | $314.80 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,398 | 1,292 | $77.43 |
| 90677 | 16 | 16 | $37.60 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 419 | 390 | $0.03 |
| 87428 | 153 | 145 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 94 | 94 | $0.00 |
| 92551 | 416 | 415 | $0.00 | |
| 91307 | 29 | 29 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 14 | 14 | $0.00 |
| 82962 | 25 | 25 | $0.00 | |
| 90686 | 58 | 57 | $0.00 | |
| 90688 | 42 | 42 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 49 | 49 | $0.00 |
| 99384 | 12 | 12 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 967 | 961 | $0.00 |
| 90715 | 93 | 93 | $0.00 | |
| 99173 | 427 | 427 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 24 | 24 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 385 | 362 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 88 | 88 | $0.00 |
| 81003 | 256 | 246 | $0.00 | |
| 99215 | Prolong outpt/office vis | 46 | 45 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 12 | 12 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 59 | 59 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 13 | 13 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 27 | 27 | $0.00 |
| 81025 | 27 | 26 | $0.00 |