NPI: 1558410217 · COLTON, CA 92324 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 387 | $4K |
| 2020 | 131 | $559.47 |
| 2021 | 19,088 | $199K |
| 2022 | 1,948 | $28K |
| 2023 | 14 | $345.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0720 | 448 | 340 | $54K | |
| 99499 | 811 | 544 | $38K | |
| 76815 | 651 | 430 | $18K | |
| 93306 | 153 | 150 | $17K | |
| C9803 | Hopd covid-19 spec collect | 1,089 | 1,054 | $15K |
| 59025 | 699 | 411 | $8K | |
| 73110 | 399 | 375 | $8K | |
| 80307 | 271 | 263 | $8K | |
| 76817 | 196 | 177 | $8K | |
| 76801 | 194 | 155 | $7K | |
| 0510 | 256 | 234 | $4K | |
| 73610 | 234 | 225 | $4K | |
| 85025 | 1,271 | 1,152 | $3K | |
| 87633 | 12 | 12 | $3K | |
| 73630 | 177 | 171 | $3K | |
| 73130 | 172 | 157 | $3K | |
| U0003 | Cov-19 amp prb hgh thruput | 699 | 681 | $2K |
| 99070 | 533 | 400 | $2K | |
| 73080 | 101 | 92 | $2K | |
| 88305 | 93 | 82 | $2K | |
| 80053 | 991 | 885 | $2K | |
| 80048 | 388 | 354 | $1K | |
| 86941 | 214 | 180 | $1K | |
| 87591 | 375 | 347 | $1K | |
| 87491 | 377 | 347 | $1K | |
| 99283 | 13 | 12 | $1K | |
| 81001 | 707 | 626 | $840.91 | |
| 84443 | 626 | 588 | $740.49 | |
| 82306 | 344 | 324 | $737.37 | |
| 87635 | 36 | 35 | $687.55 | |
| 86850 | 244 | 208 | $670.66 | |
| 84702 | 98 | 71 | $670.43 | |
| 73564 | 41 | 41 | $669.94 | |
| 73090 | 42 | 40 | $658.54 | |
| 80076 | 196 | 179 | $608.59 | |
| 85730 | 231 | 218 | $578.97 | |
| 80074 | 277 | 252 | $571.91 | |
| 73590 | 27 | 25 | $540.80 | |
| 87086 | 209 | 191 | $512.83 | |
| 85610 | 311 | 289 | $497.88 | |
| 93005 | 73 | 70 | $483.78 | |
| 76816 | 12 | 12 | $449.88 | |
| 87389 | 360 | 332 | $436.56 | |
| 86900 | 262 | 212 | $432.47 | |
| J3010 | Fentanyl citrate injection | 109 | 94 | $417.01 |
| 86901 | 264 | 213 | $416.38 | |
| 87798 | 12 | 12 | $394.08 | |
| 85379 | 75 | 66 | $366.89 | |
| 0450 | 14 | 12 | $345.70 | |
| 85384 | 74 | 65 | $343.28 | |
| 86780 | 355 | 322 | $341.02 | |
| 83036 | 732 | 685 | $336.30 | |
| 87631 | 14 | 12 | $321.12 | |
| 83615 | 107 | 96 | $311.62 | |
| 85027 | 277 | 241 | $306.88 | |
| G0463 | Hospital outpt clinic visit | 18 | 17 | $289.52 |
| 77067 | 114 | 113 | $269.00 | |
| J2250 | Inj midazolam hydrochloride | 130 | 128 | $257.40 |
| 82948 | 109 | 87 | $254.09 | |
| 73140 | 19 | 17 | $236.47 | |
| 82570 | 257 | 229 | $236.24 | |
| 87486 | 12 | 12 | $222.27 | |
| 87581 | 12 | 12 | $222.27 | |
| 73560 | 14 | 13 | $221.13 | |
| 81003 | 285 | 261 | $182.00 | |
| 80061 | 581 | 544 | $177.27 | |
| 84550 | 82 | 72 | $160.15 | |
| 82728 | 54 | 51 | $154.82 | |
| 87624 | 127 | 126 | $138.95 | |
| 84439 | 73 | 70 | $122.53 | |
| 86140 | 53 | 53 | $106.32 | |
| 82607 | 47 | 43 | $96.71 | |
| 83721 | 673 | 543 | $86.60 | |
| 29065 | 16 | 13 | $77.00 | |
| 84156 | 46 | 40 | $70.21 | |
| 88142 | 197 | 187 | $58.86 | |
| J3490 | Drugs unclassified injection | 86 | 64 | $58.10 |
| 87210 | 32 | 31 | $48.54 | |
| T1014 | Telehealth transmit, per min | 13 | 13 | $41.79 |
| 83540 | 29 | 27 | $35.11 | |
| 81025 | 14 | 14 | $33.99 | |
| J2405 | Ondansetron hcl injection | 13 | 12 | $33.65 |
| 85652 | 15 | 15 | $21.74 | |
| 87340 | 15 | 12 | $20.46 | |
| 83735 | 48 | 42 | $17.51 | |
| 82043 | 128 | 115 | $11.44 | |
| 0270 | 130 | 112 | $10.06 | |
| 87081 | 13 | 13 | $8.40 | |
| 3044F | 554 | 550 | $0.00 | |
| 3074F | 106 | 99 | $0.00 | |
| 1036F | 166 | 147 | $0.00 | |
| 99402 | 100 | 100 | $0.00 | |
| 82274 | 80 | 75 | $0.00 | |
| 3046F | 15 | 15 | $0.00 | |
| 3078F | 101 | 94 | $0.00 | |
| G8484 | Flu immunize no admin | 32 | 32 | $0.00 |
| 84100 | 13 | 12 | $0.00 |