NPI: 1609096403 · LOS BANOS, CA 93635 · 1041C0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,226 | $789K |
| 2019 | 10,757 | $927K |
| 2020 | 19,754 | $1.37M |
| 2021 | 18,602 | $1.61M |
| 2022 | 15,131 | $1.49M |
| 2023 | 13,317 | $1.38M |
| 2024 | 12,794 | $1.33M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 57,349 | 48,602 | $8.90M |
| 0002A | 15 | 15 | $1K | |
| 0001A | 12 | 12 | $600.00 | |
| G0467 | Fqhc visit, estab pt | 920 | 724 | $274.70 |
| 90832 | 675 | 654 | $0.00 | |
| 99212 | 11,194 | 9,867 | $0.00 | |
| 81003 | 99 | 95 | $0.00 | |
| 99203 | 63 | 63 | $0.00 | |
| 90472 | 406 | 404 | $0.00 | |
| 90791 | 202 | 202 | $0.00 | |
| 99394 | 621 | 620 | $0.00 | |
| 99391 | 546 | 543 | $0.00 | |
| 99173 | 607 | 605 | $0.00 | |
| 90670 | 107 | 107 | $0.00 | |
| 99393 | 854 | 854 | $0.00 | |
| 98940 | 578 | 376 | $0.00 | |
| 99395 | 75 | 75 | $0.00 | |
| 99392 | 902 | 900 | $0.00 | |
| 90734 | 26 | 26 | $0.00 | |
| 90662 | 18 | 18 | $0.00 | |
| 87880 | 52 | 52 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 174 | 129 | $0.00 |
| 90633 | 37 | 37 | $0.00 | |
| 81025 | 15 | 15 | $0.00 | |
| 99213 | 15,415 | 14,061 | $0.00 | |
| 90686 | 57 | 57 | $0.00 | |
| 90656 | 451 | 451 | $0.00 | |
| 99202 | 99 | 99 | $0.00 | |
| 99214 | 2,604 | 2,536 | $0.00 | |
| 83036 | 31 | 31 | $0.00 | |
| 99381 | 17 | 17 | $0.00 | |
| 90471 | 1,046 | 1,041 | $0.00 | |
| 99383 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 64 | 64 | $0.00 |
| 98941 | 38 | 26 | $0.00 | |
| 36416 | 14 | 14 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 562 | 480 | $0.00 |
| 92551 | 571 | 570 | $0.00 | |
| 90723 | 13 | 13 | $0.00 | |
| 90647 | 26 | 26 | $0.00 | |
| 85018 | 14 | 14 | $0.00 |