NPI: 1821567488 · WEST COVINA, CA 91790 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 15 | $122.18 |
| 2020 | 155 | $3K |
| 2021 | 432 | $10K |
| 2022 | 530 | $9K |
| 2023 | 910 | $10K |
| 2024 | 874 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99487 | Ccm add 20min | 395 | 392 | $13K |
| 99489 | Ccm add 20min | 267 | 265 | $7K |
| 99214 | 505 | 448 | $6K | |
| 99454 | 119 | 119 | $3K | |
| 99490 | Ccm add 20min | 450 | 449 | $3K |
| 99350 | Prolong home eval add 15m | 246 | 244 | $2K |
| 99457 | 381 | 381 | $2K | |
| 99439 | 304 | 303 | $997.65 | |
| 99213 | 58 | 52 | $276.85 | |
| 99491 | Ccm add 20min | 14 | 14 | $145.08 |
| 99212 | 15 | 12 | $122.18 | |
| 99458 | 84 | 84 | $70.13 | |
| 99426 | 26 | 26 | $55.38 | |
| 99427 | 26 | 26 | $31.98 | |
| 99497 | 14 | 14 | $0.00 | |
| G0439 | Ppps, subseq visit | 12 | 12 | $0.00 |