NPI: 1821101650 · COLTON, CA 92324 · 2080N0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,491 | $755K |
| 2019 | 8,704 | $622K |
| 2020 | 1,125 | $123K |
| 2021 | 59 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Z0104 | 4,914 | 523 | $688K | |
| 99479 | 1,814 | 187 | $233K | |
| Z0102 | 718 | 68 | $141K | |
| Z0100 | 320 | 302 | $124K | |
| 99480 | 763 | 146 | $96K | |
| 99477 | 217 | 206 | $71K | |
| 99239 | 809 | 760 | $53K | |
| 99231 | 1,017 | 531 | $39K | |
| 99222 | 43 | 41 | $9K | |
| Z0106 | 128 | 25 | $9K | |
| 92551 | 689 | 689 | $8K | |
| 99468 | 13 | 12 | $5K | |
| 99233 | Prolong inpt eval add15 m | 82 | 37 | $5K |
| 99223 | Prolong inpt eval add15 m | 30 | 30 | $3K |
| 90686 | 480 | 480 | $2K | |
| 99205 | Prolong outpt/office vis | 12 | 12 | $2K |
| 90670 | 269 | 265 | $2K | |
| 90698 | 243 | 238 | $2K | |
| 99391 | 222 | 217 | $1K | |
| 90685 | 221 | 221 | $1K | |
| 90651 | 151 | 151 | $1K | |
| 90633 | 125 | 124 | $1K | |
| 99392 | 449 | 447 | $836.62 | |
| 99214 | 44 | 42 | $753.30 | |
| 99460 | 13 | 13 | $658.49 | |
| 96110 | 412 | 409 | $646.37 | |
| 90680 | 61 | 61 | $549.00 | |
| 99213 | 60 | 58 | $469.13 | |
| 99393 | 338 | 338 | $464.55 | |
| 90744 | 49 | 48 | $440.91 | |
| 99394 | 157 | 157 | $417.97 | |
| 90734 | 31 | 31 | $279.00 | |
| 90710 | 30 | 30 | $270.00 | |
| 90707 | 26 | 26 | $234.00 | |
| 99211 | 231 | 228 | $222.10 | |
| 90696 | 15 | 15 | $135.00 | |
| 99212 | 43 | 42 | $129.06 | |
| 90715 | 14 | 14 | $126.00 | |
| 90716 | 14 | 14 | $126.00 | |
| G8510 | Scr dep neg, no plan reqd | 32 | 32 | $54.01 |
| 81002 | 54 | 54 | $6.61 | |
| 1220F | 26 | 26 | $0.00 |