HERMAN SARDJONO MD MEDICAL CORP
NPI: 1700890167
· ARCADIA, CA 91007
· 207R00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
393 |
$306.00 |
| 2019 |
329 |
$137.84 |
| 2020 |
134 |
$74.33 |
| 2021 |
144 |
$352.00 |
| 2022 |
75 |
$62.90 |
| 2023 |
65 |
$88.56 |
| 2024 |
91 |
$160.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,093 |
972 |
$1K |
| 99212 |
|
17 |
16 |
$70.60 |
| 90688 |
|
18 |
18 |
$17.84 |
| 99000 |
|
22 |
22 |
$6.54 |
| G2012 |
Brief check in by md/qhp |
17 |
16 |
$2.33 |
| G8510 |
Scr dep neg, no plan reqd |
15 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 36415 |
|
21 |
21 |
$0.00 |
| G0444 |
Depression screen annual |
15 |
15 |
$0.00 |