NPI: 1841269636 · HOLLISTER, CA 95023 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,193 | $202K |
| 2019 | 5,530 | $208K |
| 2020 | 81 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,578 | 1,482 | $71K | |
| 92004 | 515 | 513 | $61K | |
| 99212 | 1,605 | 1,430 | $59K | |
| 92012 | 1,003 | 974 | $58K | |
| 99213 | 580 | 523 | $28K | |
| 95930 | 445 | 236 | $20K | |
| 92083 | 706 | 412 | $18K | |
| 92340 | 887 | 881 | $17K | |
| V2020 | Vision svcs frames purchases | 861 | 860 | $17K |
| 92002 | 196 | 196 | $16K | |
| 92133 | 306 | 303 | $9K | |
| 92015 | 1,231 | 1,227 | $9K | |
| 92283 | 227 | 222 | $8K | |
| 92250 | 122 | 117 | $7K | |
| 99203 | 36 | 36 | $4K | |
| 92275 | 66 | 34 | $3K | |
| 99244 | 13 | 13 | $3K | |
| 99214 | 27 | 27 | $2K | |
| 92020 | 113 | 111 | $2K | |
| 92134 | 45 | 45 | $2K | |
| 92225 | 24 | 23 | $712.52 | |
| 2022F | 37 | 37 | $0.00 | |
| 4004F | 96 | 84 | $0.00 | |
| 1036F | 85 | 73 | $0.00 |