NPI: 1477872919 · SAN BERNARDINO, CA 92404 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,344 | $88K |
| 2019 | 9,866 | $37K |
| 2020 | 9,067 | $106K |
| 2021 | 12,741 | $248K |
| 2022 | 12,364 | $269K |
| 2023 | 12,117 | $205K |
| 2024 | 9,477 | $158K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 77067 | 13,088 | 13,008 | $301K | |
| 77063 | 5,274 | 5,251 | $140K | |
| 76700 | 4,317 | 4,311 | $87K | |
| 76856 | 5,578 | 5,564 | $81K | |
| 76830 | 3,993 | 3,989 | $55K | |
| 76705 | 4,492 | 4,478 | $45K | |
| 71046 | 8,906 | 8,853 | $45K | |
| 72148 | 583 | 572 | $41K | |
| 70551 | 514 | 509 | $34K | |
| 73721 | 723 | 635 | $23K | |
| 74178 | 418 | 413 | $22K | |
| 71250 | 429 | 427 | $20K | |
| 77066 | Tomosynthesis, mammo | 1,104 | 1,102 | $19K |
| 76536 | 1,933 | 1,921 | $16K | |
| 76642 | 1,828 | 1,752 | $16K | |
| 72100 | 3,637 | 3,626 | $16K | |
| 93970 | 446 | 446 | $14K | |
| 76770 | 1,233 | 1,232 | $14K | |
| 77080 | 1,329 | 1,317 | $12K | |
| 74176 | 263 | 259 | $11K | |
| 70553 | 94 | 93 | $9K | |
| 76775 | 889 | 888 | $8K | |
| 73630 | 1,576 | 1,200 | $7K | |
| 76870 | 571 | 571 | $6K | |
| 73030 | 1,669 | 1,346 | $6K | |
| 77065 | Tomosynthesis, mammo | 394 | 386 | $5K |
| 70450 | 323 | 321 | $4K | |
| 76801 | 138 | 138 | $4K | |
| 77062 | 142 | 142 | $4K | |
| 73560 | 1,764 | 1,234 | $4K | |
| 73221 | 89 | 81 | $4K | |
| 74246 | 222 | 218 | $3K | |
| 76817 | 103 | 102 | $3K | |
| 74177 | 112 | 111 | $3K | |
| 71271 | 59 | 59 | $3K | |
| 73562 | 1,131 | 840 | $3K | |
| 72040 | 925 | 922 | $3K | |
| 76882 | 691 | 639 | $3K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 1,759 | 1,744 | $2K |
| 72197 | 12 | 12 | $2K | |
| 76641 | 197 | 166 | $2K | |
| 73130 | 558 | 405 | $2K | |
| 73610 | 541 | 447 | $1K | |
| 71260 | 31 | 27 | $1K | |
| 71020 | 29 | 26 | $706.60 | |
| 74170 | 12 | 12 | $700.00 | |
| A9575 | Inj gadoterate meglumi 0.1ml | 198 | 198 | $599.94 |
| 76805 | 83 | 83 | $568.76 | |
| 74018 | 427 | 422 | $546.28 | |
| 72070 | 134 | 133 | $503.39 | |
| 70486 | 13 | 12 | $476.90 | |
| 73522 | 130 | 130 | $468.83 | |
| 72141 | 13 | 13 | $425.00 | |
| 73620 | 262 | 172 | $419.93 | |
| 73110 | 167 | 140 | $362.05 | |
| 93976 | 27 | 27 | $278.50 | |
| 73502 | 51 | 51 | $218.10 | |
| 72081 | 120 | 120 | $168.42 | |
| 72072 | 65 | 65 | $155.70 | |
| 73650 | 15 | 12 | $120.98 | |
| 73120 | 121 | 80 | $94.65 | |
| 73100 | 19 | 12 | $0.00 | |
| 73521 | 12 | 12 | $0.00 |