NPI: 1689758468 · WILDOMAR, CA 92595 · 363A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,267 | $78K |
| 2019 | 19,291 | $1.02M |
| 2020 | 7,630 | $419K |
| 2021 | 4,419 | $263K |
| 2022 | 5,661 | $234K |
| 2023 | 61 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9083 | Urgent care center global | 26,206 | 24,651 | $1.83M |
| 99203 | 1,738 | 1,726 | $94K | |
| 99213 | 2,405 | 2,315 | $55K | |
| 99214 | 751 | 717 | $25K | |
| 99204 | 66 | 66 | $4K | |
| 96372 | 949 | 916 | $4K | |
| 81003 | 3,317 | 3,242 | $669.76 | |
| J1885 | Ketorolac tromethamine inj | 359 | 352 | $203.61 |
| J1100 | Dexamethasone sodium phos | 228 | 228 | $86.04 |
| 81025 | 430 | 425 | $0.00 | |
| J7510 | Prednisolone oral per 5 mg | 29 | 29 | $0.00 |
| G2023 | Specimen collect covid-19 | 293 | 279 | $0.00 |
| 86328 | 46 | 45 | $0.00 | |
| S0119 | Ondansetron 4 mg | 260 | 260 | $0.00 |
| 87880 | 23 | 23 | $0.00 | |
| A9150 | Misc/exper non-prescript dru | 667 | 659 | $0.00 |
| 94640 | 280 | 277 | $0.00 | |
| J7613 | Albuterol non-comp unit | 129 | 127 | $0.00 |
| J8540 | Oral dexamethasone | 97 | 96 | $0.00 |
| 82962 | 26 | 26 | $0.00 | |
| 87070 | 14 | 14 | $0.00 | |
| 93000 | 16 | 16 | $0.00 |