NPI: 1679013726 · MANTECA, CA 95336 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,741 | $100K |
| 2019 | 10,243 | $801K |
| 2020 | 12,561 | $806K |
| 2021 | 12,747 | $983K |
| 2022 | 14,284 | $1.46M |
| 2023 | 32,348 | $3.66M |
| 2024 | 48,124 | $5.80M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 66,265 | 60,390 | $12.14M |
| 00003 | 5,459 | 4,013 | $1.41M | |
| 99213 | 31,484 | 27,896 | $20K | |
| G0467 | Fqhc visit, estab pt | 526 | 360 | $13K |
| 99214 | 8,927 | 8,176 | $6K | |
| 90471 | 1,253 | 1,161 | $6K | |
| 99203 | 736 | 714 | $869.43 | |
| G0466 | Fqhc visit new patient | 12 | 12 | $529.68 |
| 99173 | 559 | 527 | $521.76 | |
| 99391 | 674 | 654 | $463.66 | |
| 99212 | 6,449 | 6,023 | $402.35 | |
| 85018 | 275 | 262 | $387.48 | |
| 90832 | 2,708 | 2,298 | $380.00 | |
| 90791 | 1,058 | 931 | $374.11 | |
| 99392 | 1,083 | 1,057 | $370.55 | |
| 99202 | 240 | 240 | $354.02 | |
| 99385 | 379 | 376 | $346.41 | |
| 90686 | 14 | 14 | $242.00 | |
| 92551 | 619 | 586 | $227.42 | |
| 98940 | 763 | 603 | $186.29 | |
| 99383 | 124 | 121 | $164.49 | |
| 99396 | 172 | 172 | $98.91 | |
| 99395 | 563 | 560 | $92.61 | |
| 99386 | 80 | 80 | $60.60 | |
| 99393 | 671 | 656 | $43.85 | |
| 98941 | 543 | 437 | $40.12 | |
| 81025 | 13 | 13 | $33.60 | |
| 90647 | 188 | 174 | $32.40 | |
| 90670 | 258 | 245 | $21.60 | |
| 90723 | 153 | 147 | $21.60 | |
| 90680 | 92 | 87 | $21.60 | |
| 99394 | 232 | 222 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 33 | 33 | $0.00 |
| 90710 | 32 | 27 | $0.00 | |
| 90734 | 27 | 24 | $0.00 | |
| 90700 | 28 | 25 | $0.00 | |
| 90472 | 109 | 88 | $0.00 | |
| 90633 | 72 | 65 | $0.00 | |
| 99204 | 14 | 14 | $0.00 | |
| 99382 | 12 | 12 | $0.00 | |
| 90474 | 56 | 54 | $0.00 | |
| D1206 | 101 | 96 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 380 | 334 | $0.00 |
| 90656 | 520 | 479 | $0.00 | |
| 90696 | 17 | 13 | $0.00 | |
| 90834 | 14 | 14 | $0.00 | |
| 99384 | 30 | 30 | $0.00 | |
| 90651 | 18 | 15 | $0.00 | |
| 99381 | 13 | 13 | $0.00 |