NPI: 1780220822 · FRESNO, CA 93722 · Case Manager/Care Coordinator · NPI assigned 11/25/2019
Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
| Authorized Official | LOPEZ, MARY LOU (DIRECTOR OF BILLING) |
| NPI Enumeration Date | 11/25/2019 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,309 | $252K |
| 2021 | 74,843 | $4.54M |
| 2022 | 76,721 | $4.27M |
| 2023 | 136,501 | $4.42M |
| 2024 | 182,982 | $5.20M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 94,289 | 73,695 | $14.05M |
| 00003 | Internal/system code - not a standard HCPCS code | 22,608 | 17,470 | $4.32M |
| 90834 | Psychotherapy, 45 minutes with patient | 2,470 | 1,317 | $55K |
| 0002A | 861 | 460 | $38K | |
| 0001A | 863 | 462 | $38K | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,836 | 1,097 | $26K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 81,579 | 47,040 | $20K |
| 0012A | 442 | 244 | $19K | |
| 0011A | 495 | 275 | $19K | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1,733 | 1,365 | $15K |
| 0004A | 315 | 204 | $14K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 353 | 247 | $13K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 18,436 | 8,356 | $12K |
| 0064A | 297 | 182 | $11K | |
| 0031A | 201 | 107 | $9K | |
| 0071A | 162 | 93 | $6K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6,208 | 4,205 | $4K |
| 0072A | 112 | 71 | $4K | |
| G9920 | Screening performed and negative | 2,412 | 1,654 | $2K |
| 90837 | Psychotherapy, 53 minutes with patient | 26 | 14 | $1K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4,384 | 2,937 | $554.26 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19,288 | 10,381 | $484.60 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 380 | 300 | $427.50 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1,121 | 725 | $342.97 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 256 | 254 | $277.55 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3,500 | 3,440 | $49.78 |
| 81025 | 1,902 | 1,232 | $14.00 | |
| 81003 | 5,004 | 3,072 | $12.26 | |
| 92015 | Determination of refractive state | 4,816 | 4,682 | $8.01 |
| 82962 | 1,754 | 974 | $2.66 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1,751 | 1,323 | $0.07 |
| 87428 | 145 | 105 | $0.04 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 42 | 26 | $0.01 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 99 | 79 | $0.00 |
| 99070 | 194 | 134 | $0.00 | |
| 3008F | 25,047 | 18,795 | $0.00 | |
| 3075F | 3,441 | 2,784 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 736 | 720 | $0.00 |
| 3079F | 4,735 | 3,822 | $0.00 | |
| 1125F | 2,598 | 1,776 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,292 | 1,000 | $0.00 |
| D1351 | Sealant - per tooth | 41 | 12 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 772 | 756 | $0.00 |
| 85018 | 2,587 | 1,758 | $0.00 | |
| 3074F | 18,769 | 14,208 | $0.00 | |
| 1036F | 28,771 | 19,791 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 4,074 | 953 | $0.00 |
| 1034F | 1,501 | 989 | $0.00 | |
| 3080F | 188 | 148 | $0.00 | |
| 1126F | 15,043 | 11,545 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 758 | 758 | $0.00 |
| 92551 | 764 | 529 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 314 | 221 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 505 | 501 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 516 | 514 | $0.00 |
| 90688 | 432 | 299 | $0.00 | |
| D0603 | 204 | 204 | $0.00 | |
| D0602 | 346 | 343 | $0.00 | |
| 91307 | 44 | 43 | $0.00 | |
| 1035F | 222 | 154 | $0.00 | |
| 91306 | 36 | 36 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 49 | 45 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 92 | 70 | $0.00 |
| 93000 | 51 | 50 | $0.00 | |
| 90656 | 12 | 12 | $0.00 | |
| 3725F | 24,396 | 17,283 | $0.00 | |
| 1159F | 13,659 | 8,781 | $0.00 | |
| 90715 | 101 | 68 | $0.00 | |
| 3078F | 18,391 | 13,910 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 620 | 617 | $0.00 |
| 3077F | 1,070 | 835 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1,331 | 1,260 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 1,078 | 1,045 | $0.00 |
| 1160F | 13,658 | 8,780 | $0.00 | |
| 99173 | 747 | 522 | $0.00 | |
| D4341 | 913 | 527 | $0.00 | |
| D4910 | 163 | 163 | $0.00 | |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | 900 | 705 | $0.00 |
| D9430 | 953 | 904 | $0.00 | |
| 11720 | 285 | 218 | $0.00 | |
| D0270 | 279 | 272 | $0.00 | |
| 99499 | 16 | 16 | $0.00 | |
| 90658 | 80 | 80 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 283 | 166 | $0.00 |
| D1120 | Prophylaxis - child | 264 | 263 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 526 | 329 | $0.00 |
| D1110 | Prophylaxis - adult | 177 | 176 | $0.00 |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 54 | 37 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 76 | 53 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 18 | 16 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 21 | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 23 | 13 | $0.00 |