NPI: 1790971570 · MORENO VALLEY, CA 92553 · 207RC0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 224 | $22K |
| 2021 | 447 | $27K |
| 2023 | 172 | $24K |
| 2024 | 93 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 33975 | 37 | 37 | $30K | |
| 99233 | Prolong inpt eval add15 m | 469 | 114 | $17K |
| 93451 | 38 | 38 | $14K | |
| 33977 | 12 | 12 | $10K | |
| 36481 | 43 | 43 | $8K | |
| 99255 | 67 | 27 | $5K | |
| 93312 | 52 | 52 | $5K | |
| A9555 | Rb82 rubidium | 24 | 24 | $5K |
| 78452 | 13 | 13 | $4K | |
| 93320 | 40 | 40 | $2K | |
| 93042 | 84 | 27 | $693.61 | |
| 93000 | 19 | 12 | $539.79 | |
| 93306 | 26 | 25 | $89.52 | |
| 93229 | 12 | 12 | $0.00 |