NPI: 1770548596 · FOUNTAIN VALLEY, CA 92708 · 207RH0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 210 | $8K |
| 2019 | 1,230 | $19K |
| 2020 | 56 | $2K |
| 2022 | 5,957 | $27K |
| 2023 | 1,935 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,877 | 1,169 | $33K | |
| Q5106 | Inj retacrit non-esrd use | 213 | 126 | $14K |
| 96360 | 489 | 176 | $8K | |
| 96361 | 592 | 212 | $3K | |
| 99213 | 416 | 342 | $2K | |
| 96375 | 119 | 78 | $2K | |
| 96372 | 428 | 232 | $1K | |
| 96413 | 66 | 40 | $834.24 | |
| 85025 | 393 | 231 | $567.82 | |
| J7030 | Normal saline solution infus | 502 | 156 | $396.60 |
| J7050 | Normal saline solution infus | 418 | 216 | $311.57 |
| 99215 | Prolong outpt/office vis | 176 | 149 | $171.60 |
| J7040 | Normal saline solution infus | 203 | 68 | $137.83 |
| J1100 | Dexamethasone sodium phos | 103 | 59 | $136.82 |
| 99000 | 30 | 12 | $108.90 | |
| 99211 | 117 | 105 | $42.19 | |
| 1124F | 811 | 528 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 928 | 619 | $0.00 |
| G9899 | Scrn mam perf rslts doc | 12 | 12 | $0.00 |
| G8482 | Flu immunize order/admin | 175 | 151 | $0.00 |
| 3017F | 74 | 67 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 502 | 390 | $0.00 |
| 36415 | 378 | 229 | $0.00 | |
| 1036F | 366 | 298 | $0.00 |