NPI: 1649845496 · MORENO VALLEY, CA 92555 · Federally Qualified Health Center (FQHC)
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,571 | $169.47 |
| 2022 | 23,524 | $6K |
| 2023 | 27,852 | $8K |
| 2024 | 1,096 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 10,007 | 9,100 | $6K | |
| 99214 | 2,815 | 2,703 | $4K | |
| 99203 | 522 | 522 | $3K | |
| 99204 | 93 | 93 | $861.60 | |
| 87811 | 1,126 | 1,098 | $744.84 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 11,387 | 10,229 | $425.46 |
| 99212 | 3,115 | 2,842 | $273.52 | |
| 87804 | 26 | 26 | $168.15 | |
| 87428 | 250 | 243 | $139.23 | |
| 81003 | 1,018 | 997 | $75.66 | |
| 81025 | 548 | 540 | $75.12 | |
| 99215 | Prolong outpt/office vis | 35 | 35 | $62.41 |
| 90471 | 469 | 463 | $57.94 | |
| 85018 | 79 | 79 | $8.24 | |
| 82962 | 43 | 42 | $3.98 | |
| 3079F | 3,122 | 2,965 | $0.00 | |
| 3074F | 4,891 | 4,588 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 8,386 | 7,789 | $0.00 |
| 3080F | 1,158 | 1,102 | $0.00 | |
| 3075F | 1,498 | 1,449 | $0.00 | |
| 83036 | 62 | 62 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 114 | 112 | $0.00 |
| 87651 | 149 | 147 | $0.00 | |
| 3077F | 1,763 | 1,658 | $0.00 | |
| 3078F | 3,864 | 3,659 | $0.00 | |
| 90472 | 45 | 44 | $0.00 | |
| 96160 | 272 | 271 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 141 | 132 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 45 | 45 | $0.00 |