NPI: 1487867503 · MODESTO, CA 95354 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,187 | $2.93M |
| 2019 | 31,325 | $2.55M |
| 2020 | 61,579 | $4.40M |
| 2021 | 54,519 | $4.55M |
| 2022 | 9,759 | $904K |
| 2023 | 20,449 | $2.10M |
| 2024 | 31,762 | $3.14M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 135,737 | 120,566 | $20.36M |
| G0467 | Fqhc visit, estab pt | 3,594 | 2,699 | $153K |
| G0466 | Fqhc visit new patient | 586 | 522 | $39K |
| 0002A | 181 | 180 | $12K | |
| 0012A | 61 | 61 | $4K | |
| 0001A | 78 | 77 | $4K | |
| 0011A | 57 | 57 | $4K | |
| 0064A | 14 | 14 | $938.00 | |
| 99213 | 36,296 | 34,228 | $0.00 | |
| 99214 | 17,998 | 17,151 | $0.00 | |
| 99384 | 46 | 46 | $0.00 | |
| 90723 | 51 | 51 | $0.00 | |
| 99381 | 24 | 24 | $0.00 | |
| 98941 | 2,952 | 2,114 | $0.00 | |
| 90471 | 2,959 | 2,956 | $0.00 | |
| 90656 | 1,476 | 1,476 | $0.00 | |
| 83036 | 50 | 50 | $0.00 | |
| 85018 | 570 | 569 | $0.00 | |
| 90651 | 271 | 271 | $0.00 | |
| 92551 | 1,906 | 1,903 | $0.00 | |
| 90647 | 110 | 110 | $0.00 | |
| D1206 | 271 | 271 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 1,462 | 1,271 | $0.00 |
| 99383 | 79 | 79 | $0.00 | |
| 90620 | 15 | 15 | $0.00 | |
| G0008 | Admin influenza virus vac | 19 | 19 | $0.00 |
| 90834 | 45 | 43 | $0.00 | |
| 90792 | 98 | 98 | $0.00 | |
| 90696 | 12 | 12 | $0.00 | |
| 90474 | 14 | 14 | $0.00 | |
| Z6402 | 14 | 14 | $0.00 | |
| 90686 | 14 | 14 | $0.00 | |
| 99000 | 16 | 16 | $0.00 | |
| 99385 | 21 | 21 | $0.00 | |
| 90791 | 1,017 | 1,015 | $0.00 | |
| 81025 | 194 | 194 | $0.00 | |
| 99392 | 1,534 | 1,534 | $0.00 | |
| 98940 | 2,138 | 1,524 | $0.00 | |
| Z6400 | 481 | 460 | $0.00 | |
| 99394 | 1,069 | 1,067 | $0.00 | |
| 90832 | 3,096 | 2,952 | $0.00 | |
| 99212 | 9,691 | 9,044 | $0.00 | |
| 99173 | 1,794 | 1,793 | $0.00 | |
| 87880 | 106 | 106 | $0.00 | |
| 99395 | 325 | 325 | $0.00 | |
| 99391 | 522 | 522 | $0.00 | |
| 99393 | 1,539 | 1,538 | $0.00 | |
| 90670 | 213 | 213 | $0.00 | |
| 99203 | 389 | 388 | $0.00 | |
| 90833 | 161 | 159 | $0.00 | |
| 90715 | 63 | 63 | $0.00 | |
| 90472 | 172 | 172 | $0.00 | |
| 90734 | 108 | 108 | $0.00 | |
| 90633 | 89 | 89 | $0.00 | |
| 90710 | 12 | 12 | $0.00 | |
| 99204 | 13 | 13 | $0.00 | |
| 99396 | 109 | 109 | $0.00 | |
| 99215 | Prolong outpt/office vis | 59 | 58 | $0.00 |
| 90662 | 14 | 14 | $0.00 | |
| 99382 | 50 | 50 | $0.00 | |
| 81003 | 164 | 164 | $0.00 | |
| 90681 | 13 | 13 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 294 | 253 | $0.00 |
| J3301 | Triamcinolone acet inj nos | 12 | 12 | $0.00 |
| Z6414 | 16 | 16 | $0.00 | |
| 90837 | 12 | 12 | $0.00 | |
| Z6300 | 14 | 14 | $0.00 |