NPI: 1700866571 · ANAHEIM, CA 92804 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 978 | $26K |
| 2019 | 2,739 | $88K |
| 2020 | 3,470 | $93K |
| 2021 | 1,913 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | 1,291 | 1,285 | $85K | |
| 99214 | 1,378 | 1,284 | $64K | |
| 99203 | 601 | 595 | $29K | |
| 99358 | Prolong nursin fac eval 15m | 615 | 604 | $12K |
| 99205 | Prolong outpt/office vis | 206 | 206 | $12K |
| 99213 | 379 | 363 | $12K | |
| 99215 | Prolong outpt/office vis | 133 | 130 | $6K |
| 94760 | 1,688 | 1,624 | $6K | |
| 96372 | 421 | 408 | $6K | |
| 99070 | 301 | 287 | $2K | |
| 99000 | 461 | 445 | $1K | |
| 87804 | 99 | 95 | $1K | |
| 87880 | 106 | 102 | $1K | |
| 87426 | 31 | 30 | $741.93 | |
| 94640 | 32 | 30 | $562.59 | |
| 81002 | 241 | 239 | $339.66 | |
| 81000 | 59 | 58 | $87.72 | |
| J0696 | Ceftriaxone sodium injection | 15 | 15 | $77.52 |
| J7613 | Albuterol non-comp unit | 14 | 14 | $1.52 |
| 3074F | 35 | 35 | $0.00 | |
| 99443 | 32 | 31 | $0.00 | |
| 3008F | 68 | 66 | $0.00 | |
| 99072 | 333 | 323 | $0.00 | |
| 99051 | 527 | 517 | $0.00 | |
| 3078F | 34 | 34 | $0.00 |