NPI: 1619051166 · FAIRFIELD, CA 94533 · 261QR0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,107 | $71K |
| 2019 | 2,343 | $54K |
| 2020 | 842 | $20K |
| 2021 | 471 | $17K |
| 2022 | 500 | $12K |
| 2023 | 666 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X3922 | 299 | 298 | $28K | |
| X3908 | 1,308 | 853 | $27K | |
| X4110 | 883 | 669 | $19K | |
| X4102 | 271 | 271 | $18K | |
| X3928 | 798 | 678 | $17K | |
| 97164 | 381 | 249 | $15K | |
| 97139 | 715 | 284 | $12K | |
| X3920 | 314 | 310 | $11K | |
| 97161 | 368 | 256 | $10K | |
| X4100 | 256 | 256 | $9K | |
| 97799 | 566 | 242 | $9K | |
| X3910 | 632 | 548 | $5K | |
| 97750 | 76 | 38 | $4K | |
| X3926 | 202 | 199 | $4K | |
| X4120 | 191 | 174 | $4K | |
| X4112 | 456 | 441 | $4K | |
| X4104 | 137 | 136 | $3K | |
| X3930 | 76 | 75 | $516.04 |