NPI: 1700150802 · ROSEMEAD, CA 91770 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $21.60 |
| 2019 | 22 | $469.16 |
| 2022 | 683 | $10K |
| 2023 | 5,872 | $32K |
| 2024 | 3,147 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,832 | 3,317 | $32K | |
| 99442 | 1,018 | 904 | $13K | |
| 97110 | 780 | 600 | $2K | |
| 98926 | 526 | 416 | $2K | |
| 97016 | 760 | 583 | $1K | |
| 97012 | 509 | 403 | $923.76 | |
| 71046 | 194 | 183 | $709.76 | |
| 97024 | 593 | 484 | $543.52 | |
| 90658 | 53 | 53 | $280.80 | |
| 90662 | 96 | 93 | $225.74 | |
| 99214 | 17 | 16 | $140.90 | |
| 90471 | 48 | 44 | $24.01 | |
| 99396 | 52 | 52 | $0.00 | |
| 99203 | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 198 | 196 | $0.00 |
| 90688 | 48 | 48 | $0.00 |