NPI: 1578535845 · SAN BERNARDINO, CA 92415 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24,817 | $2.86M |
| 2019 | 27,280 | $2.75M |
| 2020 | 39,115 | $3.28M |
| 2021 | 61,470 | $4.33M |
| 2022 | 51,060 | $4.51M |
| 2023 | 76,751 | $6.63M |
| 2024 | 62,193 | $6.16M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 104,285 | 93,256 | $26.93M |
| 00003 | 5,126 | 3,999 | $2.01M | |
| 99213 | 37,764 | 32,689 | $510K | |
| 99212 | 10,159 | 8,043 | $171K | |
| 59425 | 2,240 | 1,288 | $134K | |
| 99214 | 26,960 | 24,053 | $120K | |
| H0033 | Oral med adm direct observe | 4,382 | 303 | $76K |
| 90834 | 2,125 | 1,136 | $67K | |
| 99202 | 1,119 | 1,067 | $43K | |
| 0012A | 1,006 | 923 | $39K | |
| 90750 | 494 | 351 | $38K | |
| 0002A | 807 | 443 | $34K | |
| 0001A | 685 | 393 | $29K | |
| 97802 | 556 | 551 | $28K | |
| 0011A | 920 | 840 | $26K | |
| 87536 | 278 | 251 | $21K | |
| 99203 | 682 | 601 | $19K | |
| 90715 | 1,849 | 1,693 | $17K | |
| 0064A | 425 | 296 | $16K | |
| 90734 | 975 | 895 | $15K | |
| 90837 | 162 | 95 | $15K | |
| 90670 | 830 | 779 | $15K | |
| 86360 | 271 | 249 | $11K | |
| 90710 | 1,496 | 1,489 | $10K | |
| 90633 | 1,236 | 1,230 | $9K | |
| 90832 | 346 | 190 | $9K | |
| 90677 | 63 | 42 | $9K | |
| 90686 | 2,046 | 1,824 | $8K | |
| 81002 | 9,272 | 4,266 | $8K | |
| 90651 | 732 | 728 | $7K | |
| 99215 | Prolong outpt/office vis | 839 | 826 | $6K |
| 0071A | 146 | 92 | $6K | |
| 0072A | 133 | 90 | $6K | |
| 90707 | 377 | 340 | $5K | |
| 99403 | 104 | 75 | $5K | |
| 90744 | 704 | 698 | $5K | |
| 0004A | 117 | 71 | $5K | |
| 99000 | 1,821 | 1,589 | $4K | |
| 97803 | 137 | 137 | $4K | |
| 0031A | 83 | 47 | $3K | |
| 99211 | 384 | 329 | $3K | |
| 90696 | 398 | 396 | $3K | |
| 90713 | 397 | 394 | $3K | |
| 0054A | 48 | 48 | $3K | |
| 90739 | 73 | 39 | $3K | |
| 90698 | 380 | 379 | $3K | |
| 90792 | 31 | 19 | $2K | |
| 86480 | 32 | 28 | $2K | |
| A4267 | Male condom | 1,734 | 1,638 | $2K |
| 87591 | 53 | 47 | $2K | |
| 90791 | 13 | 13 | $1K | |
| 90700 | 202 | 202 | $1K | |
| 90471 | 334 | 206 | $1K | |
| 90688 | 579 | 534 | $1K | |
| 81025 | 1,252 | 1,007 | $1K | |
| 90716 | 15 | 12 | $870.00 | |
| 85025 | 316 | 306 | $829.60 | |
| 86803 | 50 | 40 | $622.00 | |
| 0052A | 15 | 14 | $560.00 | |
| 86780 | 47 | 44 | $530.63 | |
| 0051A | 13 | 13 | $520.00 | |
| 87491 | 16 | 15 | $493.76 | |
| 86704 | 46 | 42 | $493.12 | |
| 87340 | 46 | 40 | $415.38 | |
| 86706 | 43 | 39 | $404.63 | |
| 85018 | 198 | 165 | $355.07 | |
| 90656 | 46 | 46 | $349.60 | |
| 86708 | 27 | 26 | $301.05 | |
| 86703 | 270 | 222 | $280.05 | |
| 90680 | 41 | 41 | $276.40 | |
| 90833 | 20 | 12 | $273.20 | |
| 90647 | 25 | 25 | $223.49 | |
| 87210 | 75 | 73 | $220.56 | |
| 86593 | 55 | 51 | $217.80 | |
| 86592 | 55 | 52 | $209.00 | |
| 93010 | 13 | 13 | $158.34 | |
| 83655 | 15 | 15 | $140.92 | |
| 90723 | 30 | 30 | $138.47 | |
| 90620 | 13 | 13 | $120.42 | |
| 90672 | 26 | 26 | $112.50 | |
| 99204 | 355 | 325 | $111.65 | |
| 99201 | 23 | 23 | $92.74 | |
| 99205 | Prolong outpt/office vis | 66 | 66 | $81.87 |
| 90674 | 20 | 12 | $80.00 | |
| 83036 | 2,065 | 1,813 | $67.60 | |
| 96110 | 251 | 251 | $57.07 | |
| 82465 | 16 | 15 | $53.90 | |
| 80305 | 137 | 121 | $49.90 | |
| 86580 | 13 | 13 | $39.12 | |
| 92551 | 947 | 945 | $22.04 | |
| 99173 | 973 | 971 | $6.82 | |
| S5000 | Prescription drug, generic | 27 | 27 | $6.44 |
| 3078F | 20,385 | 19,514 | $0.00 | |
| G9920 | Scrning perf and negative | 11,283 | 11,000 | $0.00 |
| 3077F | 5,960 | 5,802 | $0.00 | |
| 91322 | 41 | 41 | $0.00 | |
| G9919 | Scrn nd pos nd prov of rec | 864 | 839 | $0.00 |
| D0220 | 627 | 623 | $0.00 | |
| D0350 | 2,433 | 659 | $0.00 | |
| 91313 | 12 | 12 | $0.00 | |
| D1120 | 552 | 551 | $0.00 | |
| D0274 | 104 | 104 | $0.00 | |
| 99188 | 202 | 138 | $0.00 | |
| 99393 | 80 | 80 | $0.00 | |
| SBIRT | 24 | 24 | $0.00 | |
| D1354 | 213 | 37 | $0.00 | |
| 3046F | 37 | 37 | $0.00 | |
| D2391 | 31 | 14 | $0.00 | |
| 99392 | 115 | 114 | $0.00 | |
| 99401 | 14 | 12 | $0.00 | |
| D0330 | 25 | 25 | $0.00 | |
| D4921 | 54 | 27 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 48 | 47 | $0.00 |
| 90479 | 15 | 15 | $0.00 | |
| 3075F | 4,679 | 4,615 | $0.00 | |
| Z1032 | 543 | 543 | $0.00 | |
| 3044F | 16,019 | 15,340 | $0.00 | |
| Z1034 | 4,309 | 2,785 | $0.00 | |
| 3074F | 20,548 | 19,628 | $0.00 | |
| 3079F | 9,729 | 9,548 | $0.00 | |
| D0150 | 572 | 571 | $0.00 | |
| 4000F | 339 | 332 | $0.00 | |
| D0210 | 454 | 454 | $0.00 | |
| 3080F | 1,213 | 1,187 | $0.00 | |
| D1330 | 480 | 480 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 490 | 463 | $0.00 |
| 91301 | 127 | 126 | $0.00 | |
| Z1038 | 63 | 58 | $0.00 | |
| D1310 | 124 | 124 | $0.00 | |
| D0120 | 353 | 353 | $0.00 | |
| D1206 | 783 | 761 | $0.00 | |
| D0230 | 2,282 | 511 | $0.00 | |
| D2392 | 230 | 170 | $0.00 | |
| 36415 | 16 | 16 | $0.00 | |
| 91306 | 43 | 43 | $0.00 | |
| D0603 | 14 | 14 | $0.00 | |
| 90480 | 39 | 39 | $0.00 | |
| D7140 | 17 | 12 | $0.00 | |
| G0463 | Hospital outpt clinic visit | 16 | 12 | $0.00 |
| MPID1 | 14 | 14 | $0.00 |