NPI: 1720010234 · TARZANA, CA 91356 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,257 | $35K |
| 2019 | 4,510 | $59K |
| 2020 | 1,108 | $12K |
| 2021 | 363 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,188 | 4,408 | $82K | |
| 99213 | 2,104 | 1,813 | $12K | |
| 99204 | 104 | 101 | $4K | |
| G0268 | Removal of impacted wax md | 344 | 323 | $3K |
| 96372 | 556 | 453 | $2K | |
| 20611 | 160 | 125 | $1K | |
| J7325 | Synvisc or synvisc-one | 74 | 31 | $891.98 |
| 99212 | 53 | 52 | $615.09 | |
| 93000 | 149 | 135 | $581.67 | |
| 92567 | 163 | 160 | $451.69 | |
| 92553 | 172 | 171 | $273.37 | |
| J0696 | Ceftriaxone sodium injection | 81 | 59 | $45.57 |
| 90674 | 12 | 12 | $5.89 | |
| 36415 | 49 | 41 | $0.00 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |
| 99211 | 17 | 16 | $0.00 |