NPI: 1578638649 · RANCHO CUCAMONGA, CA 91730 · 171W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,542 | $44K |
| 2019 | 4,773 | $67K |
| 2020 | 5,190 | $65K |
| 2021 | 5,907 | $46K |
| 2022 | 7,453 | $62K |
| 2023 | 9,006 | $91K |
| 2024 | 7,026 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99460 | 2,205 | 2,194 | $112K | |
| 99391 | 2,177 | 2,085 | $74K | |
| 99462 | 2,374 | 1,758 | $65K | |
| 99213 | 8,967 | 8,249 | $55K | |
| 99239 | 582 | 578 | $33K | |
| 92551 | 2,675 | 2,672 | $23K | |
| 90697 | 470 | 469 | $11K | |
| 99392 | 2,272 | 2,105 | $11K | |
| 92552 | 426 | 423 | $7K | |
| G8510 | Scr dep neg, no plan reqd | 1,481 | 1,479 | $4K |
| 90671 | 406 | 404 | $4K | |
| 96110 | 989 | 986 | $4K | |
| 99393 | 1,496 | 1,417 | $4K | |
| 90670 | 1,185 | 1,098 | $4K | |
| 99188 | 247 | 247 | $4K | |
| 90680 | 938 | 908 | $3K | |
| 97802 | 1,715 | 1,634 | $3K | |
| 90648 | 1,040 | 970 | $2K | |
| 90723 | 548 | 509 | $2K | |
| 99394 | 631 | 604 | $1K | |
| 99381 | 29 | 28 | $1K | |
| 90471 | 1,459 | 1,454 | $1K | |
| 90710 | 429 | 424 | $804.86 | |
| 90633 | 672 | 601 | $750.48 | |
| 90686 | 668 | 665 | $711.87 | |
| 0071A | 13 | 13 | $420.00 | |
| 99211 | 263 | 259 | $343.71 | |
| 90700 | 186 | 169 | $342.11 | |
| 90649 | 61 | 48 | $315.00 | |
| 90651 | 254 | 254 | $189.23 | |
| 90696 | 83 | 83 | $170.00 | |
| 99212 | 74 | 74 | $136.85 | |
| 90707 | 81 | 66 | $115.83 | |
| 90716 | 78 | 63 | $106.92 | |
| 90734 | 171 | 163 | $95.64 | |
| 99406 | 409 | 409 | $84.98 | |
| 90713 | 13 | 13 | $44.55 | |
| 99173 | 958 | 945 | $26.44 | |
| 90715 | 70 | 68 | $23.50 | |
| G0009 | Admin pneumococcal vaccine | 12 | 12 | $10.00 |
| 92562 | 193 | 193 | $0.00 | |
| 90461 | 18 | 13 | $0.00 | |
| 90472 | 558 | 558 | $0.00 | |
| 97803 | 178 | 178 | $0.00 | |
| 90460 | 86 | 29 | $0.00 | |
| 83655 | 12 | 12 | $0.00 | |
| 90672 | 17 | 17 | $0.00 | |
| G0444 | Depression screen annual | 15 | 15 | $0.00 |
| 3008F | 284 | 284 | $0.00 | |
| G0443 | Brief alcohol misuse counsel | 505 | 503 | $0.00 |
| 90656 | 38 | 37 | $0.00 | |
| G0447 | Behavior counsel obesity 15m | 102 | 102 | $0.00 |
| 36415 | 84 | 84 | $0.00 |