NPI: 1720201247 · MARIPOSA, CA 95338 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 325 | $2K |
| 2019 | 127 | $838.84 |
| 2021 | 14 | $341.75 |
| 2022 | 352 | $2K |
| 2023 | 144 | $1K |
| 2024 | 6,663 | $210K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99281 | 1,797 | 1,739 | $132K | |
| 80053 | 1,031 | 997 | $14K | |
| 82306 | 196 | 196 | $9K | |
| 85025 | 810 | 784 | $8K | |
| 84443 | 259 | 254 | $7K | |
| 80061 | 314 | 312 | $6K | |
| 96374 | 77 | 75 | $6K | |
| 93306 | 15 | 15 | $5K | |
| 87811 | 75 | 75 | $5K | |
| 83036 | 279 | 279 | $4K | |
| 0450 | 548 | 506 | $4K | |
| 96375 | 32 | 29 | $2K | |
| Z7502 | 135 | 121 | $2K | |
| 93005 | 70 | 70 | $2K | |
| T1999 | Noc retail items andsupplies | 1,035 | 561 | $2K |
| 87430 | 74 | 74 | $2K | |
| 84439 | 119 | 117 | $2K | |
| 82607 | 59 | 59 | $1K | |
| 83735 | 144 | 142 | $1K | |
| 84484 | 59 | 58 | $721.27 | |
| J7030 | Normal saline solution infus | 51 | 48 | $515.47 |
| 83690 | 60 | 58 | $474.70 | |
| 99284 | 14 | 12 | $341.75 | |
| 71046 | 16 | 16 | $293.67 | |
| J2405 | Ondansetron hcl injection | 47 | 44 | $264.72 |
| 83605 | 14 | 13 | $208.28 | |
| 87086 | 14 | 13 | $188.89 | |
| Z7610 | 23 | 16 | $138.77 | |
| 81002 | 28 | 28 | $133.61 | |
| 71045 | 15 | 15 | $122.29 | |
| J1885 | Ketorolac tromethamine inj | 13 | 13 | $92.40 |
| 81001 | 15 | 15 | $55.87 | |
| J3490 | Drugs unclassified injection | 72 | 27 | $28.65 |
| 36415 | 67 | 67 | $19.95 | |
| 0510 | 48 | 46 | $0.00 |