NPI: 1548354038 · INDIO, CA 92201 · 261QA1903X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,357 | $778K |
| 2019 | 10,495 | $858K |
| 2020 | 9,621 | $815K |
| 2021 | 14,441 | $1.05M |
| 2022 | 7,478 | $1.05M |
| 2023 | 1,805 | $1.11M |
| 2024 | 1,507 | $1.64M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 41899 | 10,289 | 9,926 | $3.69M | |
| G0330 | Facility svs dental rehab | 1,302 | 1,302 | $1.54M |
| 0490 | 11,322 | 5,693 | $752K | |
| A4649 | Surgical supplies | 6,201 | 6,110 | $735K |
| 00170 | 3,436 | 3,339 | $356K | |
| 0760 | 5,546 | 5,441 | $122K | |
| 0710 | 5,710 | 5,594 | $96K | |
| J7120 | Ringers lactate infusion | 7,149 | 6,952 | $19K |
| G0378 | Hospital observation per hr | 767 | 746 | $2K |
| J1100 | Dexamethasone sodium phos | 194 | 183 | $2K |
| J3490 | Drugs unclassified injection | 267 | 148 | $1K |
| Z7506 | 12 | 12 | $1K | |
| Z7514 | 24 | 24 | $863.86 | |
| 0279 | 80 | 80 | $802.66 | |
| J2250 | Inj midazolam hydrochloride | 173 | 142 | $483.19 |
| J1885 | Ketorolac tromethamine inj | 144 | 138 | $433.92 |
| 0271 | 29 | 29 | $291.43 | |
| Z7500 | 12 | 12 | $257.28 | |
| Z7512 | 12 | 12 | $197.04 | |
| G0463 | Hospital outpt clinic visit | 695 | 677 | $0.00 |
| 99217 | 85 | 85 | $0.00 | |
| 99238 | 585 | 585 | $0.00 | |
| 99218 | 85 | 85 | $0.00 | |
| 99221 | 585 | 585 | $0.00 |