NPI: 1841626587 · LOWER LAKE, CA 95457 · Rural Health Clinic/Center · NPI assigned 09/25/2013
Authorized official PRIDGEN, PARKER controls 18+ related entities in our dataset. Read more
| Authorized Official | PRIDGEN, PARKER (PRESIDENT) |
| NPI Enumeration Date | 09/25/2013 |
Other providers sharing the same authorized official: PRIDGEN, PARKER
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,655 | $357K |
| 2019 | 4,361 | $685K |
| 2020 | 2,351 | $426K |
| 2021 | 3,614 | $532K |
| 2022 | 3,968 | $505K |
| 2023 | 5,967 | $684K |
| 2024 | 7,183 | $955K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 14,303 | 12,109 | $3.51M |
| T1015 | Clinic visit/encounter, all-inclusive | 3,632 | 3,478 | $624K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,617 | 1,507 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1,412 | 784 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 932 | 520 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 338 | 200 | $373.90 |
| 85018 | 3,886 | 2,242 | $357.93 | |
| 81000 | 883 | 547 | $137.02 | |
| 90651 | 429 | 246 | $135.00 | |
| 90734 | 375 | 222 | $126.00 | |
| 92551 | 114 | 65 | $123.42 | |
| 90686 | 87 | 52 | $82.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 75 | 66 | $76.02 |
| 99384 | 25 | 14 | $65.78 | |
| 90715 | 251 | 152 | $63.00 | |
| 90710 | 134 | 91 | $55.12 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 55 | 51 | $48.93 |
| 92553 | 51 | 38 | $42.84 | |
| 90696 | 48 | 29 | $36.00 | |
| 90660 | 72 | 41 | $18.00 | |
| 90672 | 31 | 17 | $18.00 | |
| 90633 | 90 | 54 | $18.00 | |
| 90649 | 38 | 28 | $18.00 | |
| 81002 | 140 | 80 | $14.19 | |
| 90656 | 55 | 37 | $9.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 26 | 13 | $0.00 |