NPI: 1699861815 · POMONA, CA 91767 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 177,541 | $3.45M |
| 2019 | 76,277 | $1.26M |
| 2023 | 24 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87491 | 36,052 | 35,918 | $1.06M | |
| 87591 | 36,032 | 35,906 | $1.05M | |
| 80081 | 9,329 | 7,202 | $624K | |
| 87389 | 23,066 | 23,049 | $455K | |
| 88142 | 17,063 | 17,062 | $299K | |
| 80307 | 5,272 | 5,255 | $284K | |
| 87624 | 5,905 | 5,135 | $191K | |
| 86592 | 30,849 | 30,818 | $119K | |
| 85025 | 14,199 | 13,983 | $71K | |
| 84443 | 5,605 | 5,577 | $61K | |
| 84702 | 5,051 | 4,277 | $60K | |
| 80061 | 7,423 | 7,384 | $52K | |
| 80053 | 7,554 | 7,498 | $44K | |
| 82951 | 3,883 | 3,745 | $39K | |
| 80055 | 1,213 | 1,210 | $39K | |
| 83036 | 6,309 | 6,283 | $39K | |
| 87086 | 5,605 | 5,449 | $35K | |
| 82306 | 1,749 | 1,737 | $33K | |
| 87070 | 2,687 | 2,651 | $18K | |
| 87186 | 2,407 | 2,365 | $17K | |
| 84436 | 1,760 | 1,752 | $12K | |
| 80074 | 313 | 311 | $11K | |
| 87088 | 1,976 | 1,944 | $11K | |
| 81001 | 4,685 | 4,613 | $10K | |
| 87210 | 2,247 | 2,241 | $8K | |
| 82950 | 2,192 | 2,177 | $8K | |
| 82947 | 2,166 | 2,145 | $7K | |
| 84153 | 495 | 495 | $6K | |
| 88141 | 568 | 568 | $6K | |
| 84479 | 1,130 | 1,124 | $5K | |
| 86762 | 357 | 356 | $4K | |
| 87081 | 711 | 706 | $4K | |
| 84439 | 462 | 459 | $3K | |
| 80076 | 780 | 766 | $2K | |
| 80048 | 726 | 705 | $2K | |
| 84481 | 636 | 634 | $2K | |
| 82043 | 753 | 741 | $2K | |
| 87147 | 463 | 463 | $2K | |
| 82728 | 178 | 176 | $2K | |
| 82746 | 183 | 181 | $1K | |
| 84144 | 89 | 88 | $1K | |
| 77067 | 12 | 12 | $1K | |
| 85652 | 361 | 355 | $1K | |
| 86038 | 155 | 150 | $1K | |
| 86850 | 441 | 441 | $1K | |
| 82952 | 302 | 302 | $927.13 | |
| 82607 | 145 | 143 | $833.41 | |
| 86593 | 208 | 208 | $810.03 | |
| 82565 | 318 | 314 | $761.59 | |
| 84550 | 278 | 274 | $743.54 | |
| 83540 | 173 | 171 | $701.38 | |
| 82977 | 209 | 204 | $557.67 | |
| 87340 | 70 | 70 | $546.87 | |
| 81025 | 171 | 171 | $474.32 | |
| 86431 | 145 | 140 | $468.72 | |
| 86140 | 106 | 105 | $332.14 | |
| 85730 | 95 | 88 | $331.64 | |
| 85014 | 108 | 108 | $226.97 | |
| 85018 | 111 | 111 | $224.13 | |
| 84403 | 14 | 13 | $223.44 | |
| 85610 | 100 | 91 | $219.64 | |
| 86060 | 38 | 38 | $169.37 | |
| 83550 | 27 | 27 | $142.88 | |
| 86677 | 12 | 12 | $124.89 | |
| 82272 | 44 | 44 | $80.45 | |
| 83001 | 14 | 14 | $75.33 | |
| 83002 | 13 | 13 | $75.18 | |
| 82310 | 24 | 24 | $56.99 | |
| 82540 | 13 | 12 | $41.15 | |
| R0075 | Transport port x-ray multipl | 12 | 12 | $0.00 |