NPI: 1679023980 · STOCKTON, CA 95205 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,795 | $43K |
| 2019 | 3,614 | $242K |
| 2020 | 2,018 | $140K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,106 | 2,645 | $362K |
| 99213 | 1,629 | 1,443 | $20K | |
| 96372 | 611 | 329 | $15K | |
| 99202 | 206 | 206 | $6K | |
| 99211 | 423 | 399 | $5K | |
| 99214 | 328 | 309 | $4K | |
| 99212 | 429 | 381 | $3K | |
| 90686 | 197 | 196 | $2K | |
| 90651 | 172 | 171 | $2K | |
| 86580 | 373 | 371 | $1K | |
| 99203 | 60 | 60 | $1K | |
| A4267 | Male condom | 433 | 421 | $787.78 |
| J0561 | Penicillin g benzathine inj | 256 | 112 | $483.84 |
| 90471 | 34 | 33 | $292.46 | |
| J0696 | Ceftriaxone sodium injection | 42 | 39 | $245.51 |
| 90715 | 28 | 28 | $182.00 | |
| 90744 | 12 | 12 | $45.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 1159F | 16 | 13 | $0.00 | |
| 2010F | 14 | 12 | $0.00 | |
| 90634 | 34 | 34 | $0.00 | |
| 90716 | 12 | 12 | $0.00 |