NPI: 1568610483 · SAN DIMAS, CA 91773 · Family Medicine Physician · NPI assigned 09/04/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 720 | $20K |
| 2019 | 672 | $21K |
| 2020 | 379 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,500 | 1,477 | $46K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42 | 40 | $2K |
| 90686 | 64 | 64 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 93 | 92 | $410.32 |
| 3074F | 34 | 33 | $0.00 | |
| 3078F | 38 | 36 | $0.00 |