NPI: 1548425853 · WEST SACRAMENTO, CA 95691 · 171M00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31,480 | $2.78M |
| 2019 | 19,569 | $1.17M |
| 2020 | 388 | $4K |
| 2021 | 18 | $0.00 |
| 2023 | 1,304 | $0.00 |
| 2024 | 3,646 | $29.67 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 28,101 | 23,825 | $3.87M |
| G0467 | Fqhc visit, estab pt | 1,313 | 1,147 | $28K |
| 99213 | 10,318 | 8,808 | $13K | |
| 90791 | 129 | 119 | $9K | |
| 96127 | 2,851 | 2,690 | $8K | |
| 90832 | 313 | 256 | $4K | |
| 99212 | 3,114 | 2,720 | $3K | |
| 99214 | 886 | 826 | $2K | |
| 99203 | 297 | 255 | $2K | |
| 90688 | 222 | 197 | $2K | |
| D0150 | 164 | 164 | $1K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 153 | 150 | $680.85 |
| D1120 | 26 | 26 | $570.00 | |
| D1206 | 29 | 29 | $420.00 | |
| 99393 | 160 | 121 | $387.84 | |
| 96372 | 102 | 86 | $380.32 | |
| 90658 | 20 | 20 | $361.20 | |
| 99392 | 137 | 118 | $277.18 | |
| 92551 | 332 | 304 | $246.66 | |
| 99215 | Prolong outpt/office vis | 14 | 14 | $114.40 |
| D1110 | 14 | 14 | $110.00 | |
| 90471 | 532 | 484 | $107.04 | |
| D0220 | 24 | 24 | $100.00 | |
| 99283 | 2,167 | 1,990 | $93.04 | |
| 99394 | 44 | 30 | $54.83 | |
| 90686 | 85 | 74 | $54.04 | |
| D0230 | 18 | 18 | $51.00 | |
| J3420 | Vitamin b12 injection | 61 | 48 | $50.32 |
| D0210 | 62 | 62 | $27.00 | |
| D0274 | 16 | 16 | $18.00 | |
| 96160 | 402 | 328 | $14.00 | |
| 83026 | 181 | 145 | $12.90 | |
| 85018 | 150 | 148 | $8.28 | |
| 81000 | 13 | 12 | $5.16 | |
| 90460 | 48 | 44 | $0.00 | |
| 3078F | 598 | 576 | $0.00 | |
| 1159F | 468 | 422 | $0.00 | |
| 99173 | 252 | 221 | $0.00 | |
| 1160F | 468 | 422 | $0.00 | |
| 90662 | 17 | 16 | $0.00 | |
| 3077F | 16 | 16 | $0.00 | |
| G0444 | Depression screen annual | 13 | 12 | $0.00 |
| 90472 | 65 | 60 | $0.00 | |
| 3074F | 692 | 669 | $0.00 | |
| 3008F | 1,117 | 1,063 | $0.00 | |
| 96150 | 14 | 12 | $0.00 | |
| D1310 | 15 | 15 | $0.00 | |
| D0603 | 47 | 47 | $0.00 | |
| D1330 | 70 | 70 | $0.00 | |
| 3079F | 39 | 37 | $0.00 | |
| 99202 | 16 | 13 | $0.00 |