NPI: 1467513739 · SAN BERNARDINO, CA 92404 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,348 | $340K |
| 2019 | 5,638 | $370K |
| 2020 | 5,272 | $355K |
| 2021 | 6,046 | $460K |
| 2022 | 6,536 | $434K |
| 2023 | 9,892 | $581K |
| 2024 | 9,739 | $668K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 20,000 | 19,176 | $964K | |
| 52000 | 3,530 | 3,504 | $496K | |
| 99214 | 7,690 | 7,436 | $482K | |
| 99203 | 4,670 | 4,639 | $404K | |
| 99204 | 2,730 | 2,715 | $299K | |
| 51700 | 4,591 | 4,009 | $249K | |
| 51798 | 3,774 | 3,743 | $166K | |
| J9217 | Leuprolide acetate suspnsion | 264 | 254 | $62K |
| 99223 | Prolong inpt eval add15 m | 334 | 331 | $34K |
| 99205 | Prolong outpt/office vis | 165 | 165 | $26K |
| 99222 | 82 | 82 | $8K | |
| 51702 | 174 | 171 | $7K | |
| 96402 | 332 | 323 | $6K | |
| 99255 | 12 | 12 | $1K | |
| 51710 | 14 | 12 | $1K | |
| 96372 | 52 | 44 | $915.97 | |
| 99233 | Prolong inpt eval add15 m | 15 | 14 | $774.21 |
| 74485 | 12 | 12 | $402.65 | |
| 74410 | 12 | 12 | $281.34 | |
| J0696 | Ceftriaxone sodium injection | 18 | 12 | $23.12 |