NPI: 1750486999 · LA MESA, CA 91942 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,545 | $2K |
| 2019 | 2,028 | $6K |
| 2020 | 1,883 | $6K |
| 2021 | 1,783 | $3K |
| 2022 | 1,646 | $7K |
| 2023 | 890 | $1K |
| 2024 | 398 | $192.62 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99336 | 4,092 | 3,972 | $14K | |
| 99349 | 1,793 | 1,771 | $5K | |
| 96372 | 1,132 | 964 | $2K | |
| 90674 | 152 | 152 | $1K | |
| 90688 | 187 | 187 | $995.30 | |
| 99335 | 844 | 810 | $858.37 | |
| 36410 | 1,557 | 1,504 | $665.33 | |
| 90686 | 106 | 106 | $558.88 | |
| 90662 | 131 | 131 | $61.10 | |
| G0008 | Admin influenza virus vac | 82 | 82 | $10.96 |
| 90694 | 42 | 42 | $0.00 | |
| 90471 | 13 | 13 | $0.00 | |
| 90653 | 20 | 20 | $0.00 | |
| 90661 | 22 | 22 | $0.00 |