NPI: 1487722823 · ALHAMBRA, CA 91803 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 409 | $6K |
| 2019 | 159 | $4K |
| 2020 | 28 | $960.72 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 438 | 382 | $11K | |
| 81003 | 12 | 12 | $0.00 | |
| 82570 | 12 | 12 | $0.00 | |
| 83540 | 13 | 13 | $0.00 | |
| 80076 | 14 | 14 | $0.00 | |
| 80048 | 14 | 14 | $0.00 | |
| 85025 | 13 | 13 | $0.00 | |
| 82985 | 13 | 13 | $0.00 | |
| 84478 | 14 | 14 | $0.00 | |
| 90686 | 13 | 13 | $0.00 | |
| 36415 | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| 83735 | 13 | 13 | $0.00 |