NPI: 1477020121 · MANTECA, CA 95336 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,147 | $573K |
| 2020 | 23,801 | $2.05M |
| 2021 | 24,459 | $2.20M |
| 2022 | 11,804 | $1.22M |
| 2023 | 6,417 | $591K |
| 2024 | 87 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 29,638 | 26,248 | $3.95M |
| 00003 | 14,282 | 9,776 | $2.66M | |
| G0467 | Fqhc visit, estab pt | 493 | 358 | $8K |
| G0466 | Fqhc visit new patient | 57 | 51 | $2K |
| 99213 | 10,686 | 9,855 | $2K | |
| 92014 | 622 | 621 | $2K | |
| 90791 | 13 | 13 | $2K | |
| 98941 | 1,148 | 860 | $684.34 | |
| 98940 | 2,060 | 1,454 | $480.90 | |
| 92004 | 17 | 16 | $373.52 | |
| 99214 | 1,705 | 1,578 | $176.17 | |
| 99212 | 5,088 | 4,407 | $141.52 | |
| 90633 | 91 | 80 | $9.00 | |
| 90647 | 126 | 120 | $0.00 | |
| 92250 | 216 | 215 | $0.00 | |
| 90656 | 283 | 261 | $0.00 | |
| 90651 | 21 | 18 | $0.00 | |
| 90471 | 789 | 736 | $0.00 | |
| 92551 | 363 | 336 | $0.00 | |
| 90723 | 123 | 118 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 236 | 224 | $0.00 |
| 90474 | 28 | 28 | $0.00 | |
| 90680 | 17 | 17 | $0.00 | |
| 99383 | 24 | 24 | $0.00 | |
| 90696 | 18 | 16 | $0.00 | |
| 90716 | 12 | 12 | $0.00 | |
| 99393 | 176 | 170 | $0.00 | |
| 92015 | 675 | 675 | $0.00 | |
| 90472 | 145 | 119 | $0.00 | |
| 99392 | 349 | 337 | $0.00 | |
| 11720 | 64 | 43 | $0.00 | |
| 99394 | 87 | 84 | $0.00 | |
| 99395 | 61 | 60 | $0.00 | |
| 11056 | 146 | 103 | $0.00 | |
| 99391 | 191 | 184 | $0.00 | |
| 99173 | 322 | 301 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 51 | 47 | $0.00 |
| 99203 | 38 | 35 | $0.00 | |
| 90670 | 195 | 187 | $0.00 | |
| 92133 | 12 | 12 | $0.00 | |
| 90681 | 14 | 13 | $0.00 | |
| 90700 | 13 | 12 | $0.00 | |
| 90832 | 20 | 17 | $0.00 |