NPI: 1891122248 · SAN JACINTO, CA 92583 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,606 | $542K |
| 2019 | 25,140 | $628K |
| 2020 | 20,734 | $473K |
| 2021 | 22,686 | $492K |
| 2022 | 24,236 | $618K |
| 2023 | 25,486 | $677K |
| 2024 | 21,207 | $605K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 10,736 | 10,686 | $599K | |
| D2150 | 7,313 | 4,641 | $489K | |
| D7210 | 3,112 | 2,197 | $364K | |
| D1120 | 9,217 | 9,189 | $353K | |
| D0230 | 72,917 | 15,192 | $292K | |
| D0150 | 4,146 | 4,134 | $261K | |
| D4341 | 3,272 | 910 | $228K | |
| D1110 | 2,581 | 2,566 | $218K | |
| D2160 | 2,253 | 1,765 | $179K | |
| D2140 | 3,210 | 2,286 | $174K | |
| D0210 | 2,324 | 2,317 | $109K | |
| D9430 | 3,180 | 3,142 | $101K | |
| D0274 | 5,461 | 5,426 | $98K | |
| D2931 | 688 | 607 | $86K | |
| D0350 | 8,285 | 4,596 | $78K | |
| D1206 | 5,000 | 4,966 | $77K | |
| D0272 | 6,145 | 6,131 | $71K | |
| D1208 | 6,610 | 6,597 | $66K | |
| D0220 | 5,273 | 5,201 | $62K | |
| D4910 | 517 | 517 | $40K | |
| D2751 | 82 | 64 | $39K | |
| D7140 | 556 | 344 | $32K | |
| D2791 | 18 | 17 | $9K | |
| D2330 | 46 | 29 | $3K | |
| D2161 | 20 | 15 | $2K | |
| D3221 | 25 | 25 | $2K | |
| D4342 | 37 | 12 | $2K | |
| D1351 | 41 | 12 | $902.00 | |
| D0145 | 13 | 13 | $280.00 | |
| D0999 | 17 | 17 | $0.00 |