NPI: 1619052628 · LOS ANGELES, CA 90012 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,259 | $40K |
| 2019 | 6,097 | $63K |
| 2020 | 5,185 | $60K |
| 2021 | 4,726 | $67K |
| 2022 | 4,328 | $60K |
| 2023 | 5,022 | $67K |
| 2024 | 5,034 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 21,445 | 17,194 | $264K | |
| 99490 | Ccm add 20min | 8,832 | 8,753 | $125K |
| G0008 | Admin influenza virus vac | 353 | 350 | $9K |
| G0439 | Ppps, subseq visit | 124 | 124 | $4K |
| 90658 | 468 | 468 | $2K | |
| 90471 | 510 | 506 | $1K | |
| J1030 | Methylprednisolone 40 mg inj | 348 | 310 | $771.41 |
| G0009 | Admin pneumococcal vaccine | 12 | 12 | $720.00 |
| 20610 | 54 | 50 | $613.81 | |
| J3301 | Triamcinolone acet inj nos | 225 | 216 | $410.00 |
| 90686 | 105 | 105 | $243.43 | |
| 99212 | 74 | 59 | $220.23 | |
| Q0091 | Obtaining screen pap smear | 39 | 39 | $180.00 |
| 90662 | 153 | 153 | $154.98 | |
| 82948 | 48 | 42 | $13.40 | |
| 3008F | 1,792 | 1,776 | $11.40 | |
| G2211 | Complex e/m visit add on | 24 | 23 | $3.49 |
| 3078F | 302 | 302 | $2.70 | |
| 3074F | 254 | 254 | $2.70 | |
| G0124 | Screen c/v thin layer by md | 104 | 104 | $0.00 |
| Q2037 | Fluvirin vacc, 3 yrs & >, im | 71 | 71 | $0.00 |
| 99396 | 24 | 24 | $0.00 | |
| 3014F | 184 | 181 | $0.00 | |
| 3017F | 106 | 106 | $0.00 |