NPI: 1487680690 · LOS ANGELES, CA 90015 · Pharmacy · NPI assigned 06/23/2006
| Authorized Official | YI, KIL (DIR OF PHCY) |
| NPI Enumeration Date | 06/23/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 2,313 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0450 | Emergency room services | 338 | 313 | $8K |
| 0360 | 132 | 130 | $146.16 | |
| 80053 | Comprehensive metabolic panel | 128 | 118 | $36.75 |
| 0710 | 130 | 128 | $26.13 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 132 | 123 | $21.60 |
| 81001 | 30 | 29 | $2.22 | |
| 0270 | 466 | 206 | $0.16 | |
| 0300 | 173 | 155 | $0.00 | |
| 0402 | 13 | 13 | $0.00 | |
| 0302 | 12 | 12 | $0.00 | |
| 0305 | 161 | 153 | $0.00 | |
| 0301 | 144 | 133 | $0.00 | |
| 86803 | 52 | 52 | $0.00 | |
| 0250 | 179 | 161 | $0.00 | |
| 83690 | 61 | 60 | $0.00 | |
| 71045 | Radiologic examination, chest; single view | 26 | 26 | $0.00 |
| 0306 | 55 | 54 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 12 | 12 | $0.00 |
| 0214 | 12 | 12 | $0.00 | |
| 0307 | 13 | 13 | $0.00 | |
| J3490 | Unclassified drugs | 44 | 12 | $0.00 |