NPI: 1871193763 · LANCASTER, CA 93534 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,612 | $82K |
| 2023 | 3,198 | $88K |
| 2024 | 162 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 73721 | 420 | 381 | $32K | |
| 77066 | Tomosynthesis, mammo | 366 | 365 | $25K |
| 76641 | 790 | 507 | $22K | |
| 76642 | 643 | 599 | $20K | |
| 77065 | Tomosynthesis, mammo | 431 | 424 | $19K |
| 78815 | 21 | 21 | $17K | |
| 77067 | 1,189 | 1,189 | $14K | |
| 73221 | 111 | 101 | $8K | |
| 76705 | 708 | 708 | $5K | |
| 76856 | 408 | 408 | $4K | |
| 72148 | 117 | 117 | $4K | |
| 76830 | 396 | 396 | $4K | |
| 19083 | 12 | 12 | $3K | |
| 71046 | 986 | 984 | $1K | |
| 70551 | 13 | 13 | $824.20 | |
| 72141 | 17 | 17 | $753.21 | |
| 73562 | 437 | 307 | $510.91 | |
| 71250 | 14 | 14 | $421.11 | |
| A9552 | F18 fdg | 17 | 17 | $416.08 |
| 72100 | 300 | 298 | $338.55 | |
| 77080 | 180 | 180 | $206.06 | |
| A9576 | Inj prohance multipack | 24 | 24 | $174.83 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 41 | 39 | $160.79 |
| 76815 | 16 | 14 | $125.90 | |
| 73030 | 164 | 126 | $125.67 | |
| 76770 | 12 | 12 | $0.00 | |
| 73630 | 41 | 28 | $0.00 | |
| 74018 | 12 | 12 | $0.00 | |
| 72070 | 14 | 14 | $0.00 | |
| 72040 | 72 | 72 | $0.00 |