NPI: 1568447860 · COVINA, CA 91722 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,162 | $3K |
| 2019 | 1,280 | $6K |
| 2020 | 699 | $693.98 |
| 2021 | 475 | $1K |
| 2022 | 673 | $138.38 |
| 2023 | 657 | $142.45 |
| 2024 | 672 | $37.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,977 | 4,689 | $9K | |
| 90658 | 76 | 76 | $674.17 | |
| 90686 | 18 | 18 | $391.36 | |
| 99204 | 355 | 355 | $214.69 | |
| 90662 | 12 | 12 | $130.00 | |
| 90656 | 16 | 16 | $96.25 | |
| Q2039 | Influenza virus vaccine, nos | 41 | 41 | $80.00 |
| 90471 | 45 | 45 | $49.00 | |
| Q0091 | Obtaining screen pap smear | 12 | 12 | $45.00 |
| G0008 | Admin influenza virus vac | 66 | 66 | $0.00 |