NPI: 1730499872 · LANCASTER, CA 93534 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 49,375 | $3.57M |
| 2019 | 11,369 | $956K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 47,359 | 40,712 | $4.08M |
| 00003 | 2,919 | 2,738 | $368K | |
| 90832 | 2,472 | 1,932 | $36K | |
| 99213 | 748 | 688 | $12K | |
| G0467 | Fqhc visit, estab pt | 175 | 152 | $10K |
| S5102 | Adult day care per diem | 168 | 21 | $6K |
| 99392 | 77 | 77 | $3K | |
| 92551 | 348 | 348 | $2K | |
| 99212 | 118 | 113 | $2K | |
| 99214 | 42 | 42 | $2K | |
| 99393 | 41 | 41 | $1K | |
| 99391 | 25 | 25 | $849.14 | |
| 90791 | 52 | 52 | $750.00 | |
| 90686 | 116 | 115 | $631.00 | |
| 99381 | 12 | 12 | $530.40 | |
| 90670 | 35 | 35 | $315.90 | |
| 90647 | 28 | 28 | $225.90 | |
| 90723 | 28 | 28 | $216.00 | |
| D0150 | 255 | 203 | $184.00 | |
| 90633 | 12 | 12 | $108.00 | |
| 81025 | 25 | 25 | $36.01 | |
| 99202 | 13 | 13 | $33.96 | |
| 85018 | 77 | 75 | $31.00 | |
| D0220 | 632 | 520 | $24.00 | |
| 81002 | 29 | 29 | $23.02 | |
| D0210 | 163 | 125 | $0.00 | |
| D0603 | 625 | 520 | $0.00 | |
| D1206 | 308 | 269 | $0.00 | |
| D1330 | 514 | 442 | $0.00 | |
| D0230 | 448 | 383 | $0.00 | |
| D0120 | 518 | 466 | $0.00 | |
| 3008F | 871 | 847 | $0.00 | |
| 99172 | 43 | 43 | $0.00 | |
| 90657 | 15 | 15 | $0.00 | |
| 97802 | 137 | 137 | $0.00 | |
| 96110 | 137 | 137 | $0.00 | |
| D0140 | 42 | 41 | $0.00 | |
| D0272 | 55 | 54 | $0.00 | |
| D1310 | 16 | 14 | $0.00 | |
| D2392 | 50 | 43 | $0.00 | |
| 3074F | 103 | 98 | $0.00 | |
| D0274 | 184 | 152 | $0.00 | |
| D1110 | 96 | 73 | $0.00 | |
| D0270 | 15 | 15 | $0.00 | |
| D1120 | 171 | 155 | $0.00 | |
| 99173 | 177 | 177 | $0.00 | |
| 99401 | 137 | 137 | $0.00 | |
| 3078F | 60 | 59 | $0.00 | |
| D4341 | 38 | 13 | $0.00 | |
| D9430 | 15 | 12 | $0.00 |