NPI: 1679198279 · FRESNO, CA 93701 · Case Manager/Care Coordinator · NPI assigned 06/10/2020
Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
| Authorized Official | LOPEZ, MARY LOU (DIRECTOR OF BILLING) |
| NPI Enumeration Date | 06/10/2020 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12,526 | $696K |
| 2022 | 40,896 | $2.44M |
| 2023 | 97,210 | $3.24M |
| 2024 | 123,856 | $3.25M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 44,725 | 35,738 | $6.79M |
| 00003 | Internal/system code - not a standard HCPCS code | 14,036 | 10,097 | $2.71M |
| 90834 | Psychotherapy, 45 minutes with patient | 2,354 | 1,591 | $46K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,527 | 1,135 | $21K |
| 90791 | Psychiatric diagnostic evaluation | 316 | 232 | $11K |
| 98940 | 10,652 | 4,940 | $9K | |
| 0004A | 172 | 108 | $8K | |
| 0002A | 128 | 76 | $6K | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1,478 | 1,133 | $6K |
| 0064A | 163 | 114 | $6K | |
| 0001A | 110 | 63 | $5K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45,802 | 27,461 | $4K |
| 0072A | 82 | 57 | $3K | |
| 0071A | 60 | 32 | $3K | |
| 0124A | 34 | 31 | $1K | |
| 0031A | 25 | 13 | $1K | |
| 0134A | 15 | 14 | $519.86 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,809 | 1,282 | $285.28 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,563 | 987 | $172.34 |
| 11720 | 648 | 524 | $135.95 | |
| G9920 | Screening performed and negative | 196 | 167 | $116.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,837 | 2,565 | $37.50 |
| 90688 | 890 | 626 | $24.94 | |
| 81025 | 676 | 496 | $5.60 | |
| 87428 | 185 | 115 | $0.02 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 414 | 311 | $0.01 |
| D9430 | 515 | 502 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 175 | 175 | $0.00 |
| 3725F | 16,741 | 12,291 | $0.00 | |
| 3078F | 12,858 | 9,691 | $0.00 | |
| 81003 | 622 | 414 | $0.00 | |
| D1110 | Prophylaxis - adult | 189 | 189 | $0.00 |
| 90715 | 617 | 401 | $0.00 | |
| 1159F | 8,317 | 5,478 | $0.00 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 336 | 228 | $0.00 |
| 1160F | 8,318 | 5,478 | $0.00 | |
| D1120 | Prophylaxis - child | 137 | 136 | $0.00 |
| 90658 | 88 | 88 | $0.00 | |
| D0270 | 83 | 82 | $0.00 | |
| 3077F | 1,842 | 1,462 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 41 | 38 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 13 | 13 | $0.00 |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 145 | 91 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 469 | 461 | $0.00 |
| 99173 | 157 | 118 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 119 | 119 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12 | 12 | $0.00 |
| 11719 | 92 | 68 | $0.00 | |
| D4341 | 77 | 45 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 12 | 12 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 45 | 45 | $0.00 |
| 11056 | 59 | 41 | $0.00 | |
| 1036F | 18,341 | 12,572 | $0.00 | |
| 1125F | 4,524 | 3,397 | $0.00 | |
| D0603 | 185 | 185 | $0.00 | |
| 82962 | 1,375 | 883 | $0.00 | |
| 3074F | 14,227 | 10,530 | $0.00 | |
| 3008F | 19,869 | 14,377 | $0.00 | |
| 3075F | 3,546 | 2,966 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 826 | 804 | $0.00 |
| 1126F | 10,852 | 8,333 | $0.00 | |
| 3079F | 5,980 | 4,672 | $0.00 | |
| 3080F | 819 | 658 | $0.00 | |
| 1034F | 3,694 | 2,558 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 360 | 353 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 375 | 321 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 219 | 217 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1,877 | 408 | $0.00 |
| 85018 | 170 | 127 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 14 | 13 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 280 | 199 | $0.00 |
| 90686 | 135 | 88 | $0.00 | |
| 99070 | 775 | 547 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 256 | 256 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 247 | 231 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 381 | 371 | $0.00 |
| 1035F | 74 | 39 | $0.00 | |
| 92551 | 157 | 120 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 284 | 282 | $0.00 |
| 11055 | 14 | 13 | $0.00 | |
| D0170 | 123 | 115 | $0.00 | |
| 91307 | 28 | 28 | $0.00 | |
| D0601 | 114 | 114 | $0.00 | |
| 93000 | 99 | 60 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 49 | 41 | $0.00 |
| 99205 | Prolong outpt/office vis | 36 | 35 | $0.00 |
| 92227 | 91 | 62 | $0.00 | |
| 91306 | 16 | 16 | $0.00 | |
| 90677 | 47 | 46 | $0.00 | |
| D1351 | Sealant - per tooth | 53 | 12 | $0.00 |