NPI: 1710981733 · VICTORVILLE, CA 92395 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,349 | $141K |
| 2019 | 5,301 | $170K |
| 2020 | 3,705 | $124K |
| 2021 | 3,921 | $154K |
| 2022 | 2,590 | $103K |
| 2023 | 3,332 | $112K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,818 | 3,547 | $227K | |
| 99213 | 4,330 | 4,137 | $161K | |
| 96413 | 2,153 | 1,129 | $141K | |
| 99223 | Prolong inpt eval add15 m | 818 | 767 | $84K |
| 96367 | 2,619 | 1,397 | $61K | |
| 99204 | 523 | 520 | $41K | |
| 96372 | 1,831 | 875 | $20K | |
| 96365 | 354 | 236 | $16K | |
| J2405 | Ondansetron hcl injection | 2,018 | 1,026 | $12K |
| 96523 | 635 | 618 | $11K | |
| 96415 | 297 | 142 | $8K | |
| 96417 | 130 | 61 | $6K | |
| 99203 | 87 | 87 | $6K | |
| J1100 | Dexamethasone sodium phos | 1,811 | 897 | $3K |
| 99233 | Prolong inpt eval add15 m | 50 | 27 | $2K |
| J1200 | Diphenhydramine hcl injectio | 1,195 | 612 | $2K |
| 99205 | Prolong outpt/office vis | 13 | 13 | $1K |
| J2780 | Ranitidine hydrochloride inj | 157 | 64 | $1K |
| 96368 | 70 | 52 | $951.06 | |
| J1756 | Iron sucrose injection | 26 | 12 | $924.84 |
| 99443 | 13 | 13 | $751.11 | |
| 96375 | 56 | 40 | $568.70 | |
| J3490 | Drugs unclassified injection | 161 | 98 | $230.34 |
| J3489 | Zoledronic acid 1mg | 13 | 12 | $176.82 |
| J2469 | Palonosetron hcl | 20 | 13 | $148.00 |