NPI: 1639775612 · DOWNEY, CA 90241 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 53 | $2K |
| 2023 | 342 | $496.35 |
| 2024 | 598 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 27 | 27 | $1K | |
| 99202 | 15 | 15 | $824.74 | |
| 0011A | 26 | 26 | $780.00 | |
| 91322 | 265 | 265 | $618.26 | |
| 90653 | 172 | 172 | $327.28 | |
| 0134A | 12 | 12 | $200.00 | |
| G0008 | Admin influenza virus vac | 89 | 89 | $138.48 |
| 90480 | 176 | 176 | $137.93 | |
| 91320 | 93 | 93 | $128.48 | |
| 90694 | 20 | 20 | $75.38 | |
| 90471 | 15 | 15 | $52.64 | |
| M0201 | Pne flu hepb cov home admin | 29 | 29 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 27 | 27 | $0.00 |
| 90677 | 27 | 27 | $0.00 |