NPI: 1528477882 · LA PUENTE, CA 91746 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,553 | $725K |
| 2019 | 14,294 | $857K |
| 2020 | 16,895 | $899K |
| 2021 | 17,209 | $822K |
| 2022 | 13,192 | $559K |
| 2023 | 18,763 | $676K |
| 2024 | 14,145 | $584K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 42,120 | 35,786 | $4.84M |
| 99213 | 21,346 | 16,268 | $182K | |
| G0467 | Fqhc visit, estab pt | 2,107 | 1,555 | $69K |
| 99212 | 1,875 | 1,517 | $19K | |
| 81025 | 1,911 | 1,663 | $2K | |
| 90832 | 300 | 180 | $2K | |
| 99214 | 1,390 | 1,088 | $2K | |
| 99334 | 4,551 | 3,153 | $1K | |
| G2025 | Dis site tele svcs rhc/fqhc | 332 | 285 | $1K |
| J3490 | Drugs unclassified injection | 41 | 28 | $703.52 |
| 90686 | 746 | 609 | $645.51 | |
| 99392 | 364 | 315 | $403.85 | |
| 99391 | 237 | 212 | $393.38 | |
| 92551 | 2,657 | 2,163 | $301.30 | |
| 97802 | 1,704 | 1,394 | $178.45 | |
| 99395 | 201 | 154 | $147.43 | |
| 99393 | 64 | 56 | $130.23 | |
| 85018 | 4,437 | 3,666 | $130.12 | |
| 90648 | 180 | 161 | $63.00 | |
| 90670 | 162 | 143 | $54.00 | |
| 92004 | 22 | 17 | $49.78 | |
| 99396 | 107 | 75 | $49.20 | |
| 90723 | 15 | 12 | $27.00 | |
| 81002 | 620 | 508 | $22.79 | |
| 87430 | 113 | 107 | $16.20 | |
| 90633 | 20 | 14 | $9.00 | |
| 92015 | 22 | 17 | $8.01 | |
| 81000 | 211 | 165 | $2.55 | |
| 96156 | 1,780 | 1,377 | $0.00 | |
| 90680 | 27 | 25 | $0.00 | |
| 82962 | 901 | 651 | $0.00 | |
| 3074F | 1,842 | 1,335 | $0.00 | |
| Z1034 | 1,889 | 1,425 | $0.00 | |
| Z6406 | 100 | 76 | $0.00 | |
| 3075F | 251 | 186 | $0.00 | |
| 3079F | 246 | 180 | $0.00 | |
| Z6410 | 20 | 14 | $0.00 | |
| 96110 | 231 | 189 | $0.00 | |
| 0011A | 17 | 12 | $0.00 | |
| 90716 | 13 | 13 | $0.00 | |
| Z1032 | 13 | 13 | $0.00 | |
| 99335 | 36 | 25 | $0.00 | |
| 01 | Inj., retisert, 0.01 mg | 71 | 45 | $0.00 |
| 91301 | 26 | 21 | $0.00 | |
| 99173 | 2,977 | 2,403 | $0.00 | |
| 3078F | 1,997 | 1,465 | $0.00 | |
| 99203 | 79 | 56 | $0.00 | |
| 3077F | 67 | 48 | $0.00 | |
| Z6400 | 262 | 235 | $0.00 | |
| 99215 | Prolong outpt/office vis | 16 | 13 | $0.00 |
| 90707 | 12 | 12 | $0.00 | |
| 11720 | 95 | 64 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 65 | 53 | $0.00 |
| 99211 | 26 | 24 | $0.00 | |
| 97803 | 119 | 87 | $0.00 | |
| 99336 | 18 | 14 | $0.00 |