NPI: 1508902487 · HAWTHORNE, CA 90250 · 213E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,157 | $11K |
| 2019 | 2,062 | $57K |
| 2020 | 1,813 | $64K |
| 2021 | 1,699 | $60K |
| 2022 | 2,288 | $82K |
| 2023 | 2,259 | $88K |
| 2024 | 2,063 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11042 | 2,456 | 2,036 | $133K | |
| 99213 | 2,732 | 2,455 | $71K | |
| 73630 | 1,416 | 720 | $45K | |
| 11721 | 2,364 | 2,328 | $37K | |
| 99204 | 556 | 556 | $33K | |
| 99214 | 616 | 564 | $22K | |
| A5500 | Diab shoe for density insert | 731 | 426 | $21K |
| 29581 | 508 | 424 | $17K | |
| L3000 | Ft insert ucb berkeley shell | 272 | 137 | $11K |
| A5513 | Multi den insert custom mold | 682 | 404 | $10K |
| 11043 | 80 | 50 | $9K | |
| 11056 | 525 | 505 | $7K | |
| 93924 | 108 | 107 | $4K | |
| L3260 | Ambulatory surgical boot eac | 100 | 97 | $3K |
| 29540 | 65 | 58 | $1K | |
| 64450 | 46 | 43 | $901.75 | |
| 93922 | 29 | 29 | $864.06 | |
| 11750 | 14 | 12 | $336.56 | |
| 99203 | 12 | 12 | $176.19 | |
| 99212 | 12 | 12 | $0.00 | |
| 97597 | 17 | 14 | $0.00 |