NPI: 1467638064 · LANCASTER, CA 93534 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 437 | $3K |
| 2019 | 566 | $28K |
| 2020 | 608 | $35K |
| 2021 | 1,128 | $73K |
| 2022 | 73 | $1K |
| 2023 | 1,946 | $122K |
| 2024 | 133 | $907.65 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 77067 | 388 | 388 | $48K | |
| 72148 | 337 | 321 | $48K | |
| 71046 | 1,625 | 1,614 | $31K | |
| 93976 | 279 | 262 | $24K | |
| 73721 | 94 | 84 | $19K | |
| 76642 | 159 | 146 | $15K | |
| 72141 | 67 | 66 | $12K | |
| 77063 | 209 | 209 | $10K | |
| 76700 | 142 | 142 | $10K | |
| 76856 | 157 | 157 | $8K | |
| 72100 | 308 | 308 | $8K | |
| 73221 | 28 | 28 | $6K | |
| 73562 | 192 | 146 | $4K | |
| 76830 | 61 | 61 | $3K | |
| 72040 | 114 | 114 | $2K | |
| 76770 | 48 | 48 | $2K | |
| 71250 | 12 | 12 | $1K | |
| 73030 | 65 | 52 | $1K | |
| 76536 | 33 | 29 | $1K | |
| 93882 | 29 | 29 | $1K | |
| 77080 | 47 | 47 | $1K | |
| 76641 | 22 | 15 | $1K | |
| 72114 | 30 | 30 | $1K | |
| 72131 | 12 | 12 | $914.53 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 122 | 111 | $513.82 |
| 73630 | 28 | 21 | $457.78 | |
| 73130 | 27 | 19 | $450.27 | |
| 76881 | 14 | 12 | $424.73 | |
| 76705 | 13 | 13 | $362.61 | |
| 76376 | 135 | 104 | $236.13 | |
| A9579 | Gad-base mr contrast nos,1ml | 56 | 41 | $44.14 |
| G9637 | Doc >1 dose reduc tech | 14 | 12 | $0.00 |
| G9638 | No doc >1 dose reduc tech | 24 | 14 | $0.00 |