NPI: 1891207684 · MARIPOSA, CA 95338 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 28 | $2K |
| 2021 | 8,659 | $172K |
| 2022 | 26,362 | $1.29M |
| 2023 | 135,210 | $11.16M |
| 2024 | 218,553 | $19.97M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 115,910 | 76,686 | $29.81M |
| G0467 | Fqhc visit, estab pt | 73,481 | 45,920 | $854K |
| 99213 | 43,197 | 26,517 | $742K | |
| 99308 | 46,967 | 24,673 | $240K | |
| 99309 | 13,469 | 8,575 | $100K | |
| 00003 | 295 | 291 | $94K | |
| 99214 | 4,016 | 2,687 | $69K | |
| 99347 | 8,710 | 7,522 | $65K | |
| D0150 | 1,809 | 1,011 | $55K | |
| 99310 | Prolong nursin fac eval 15m | 6,102 | 4,058 | $47K |
| D9430 | 3,832 | 1,883 | $44K | |
| 99203 | 1,570 | 1,157 | $42K | |
| 99307 | 23,798 | 13,819 | $42K | |
| D1110 | 880 | 510 | $33K | |
| Q3014 | Telehealth facility fee | 2,280 | 1,391 | $32K |
| D2392 | 735 | 378 | $23K | |
| 99306 | Prolong nursin fac eval 15m | 939 | 720 | $22K |
| 99283 | 3,039 | 1,792 | $21K | |
| 99395 | 334 | 224 | $19K | |
| D2391 | 705 | 341 | $19K | |
| D0210 | 1,193 | 683 | $18K | |
| D1206 | 1,453 | 834 | $17K | |
| 99396 | 347 | 265 | $16K | |
| G0466 | Fqhc visit new patient | 924 | 884 | $16K |
| 99305 | 1,573 | 1,158 | $14K | |
| D2332 | 297 | 126 | $10K | |
| 99334 | 4,904 | 4,492 | $9K | |
| D0220 | 2,071 | 1,072 | $8K | |
| 99304 | 1,072 | 784 | $8K | |
| G2025 | Dis site tele svcs rhc/fqhc | 4,565 | 4,156 | $8K |
| 99394 | 236 | 144 | $8K | |
| G0470 | Fqhc visit, mh estab pt | 242 | 233 | $7K |
| 99204 | 389 | 260 | $7K | |
| D8670 | 114 | 70 | $7K | |
| D1120 | 266 | 142 | $6K | |
| D0120 | 264 | 146 | $6K | |
| 99393 | 197 | 127 | $6K | |
| D2740 | 20 | 12 | $5K | |
| 90686 | 497 | 359 | $4K | |
| 92551 | 844 | 567 | $4K | |
| D2393 | 108 | 58 | $4K | |
| 90715 | 255 | 182 | $4K | |
| D0230 | 2,246 | 550 | $4K | |
| 99497 | 1,068 | 693 | $3K | |
| D7140 | 151 | 66 | $3K | |
| 99212 | 285 | 158 | $3K | |
| 90792 | 66 | 54 | $3K | |
| D0274 | 345 | 192 | $2K | |
| 99215 | Prolong outpt/office vis | 91 | 40 | $2K |
| 99348 | 409 | 342 | $1K | |
| 99342 | 34 | 34 | $1K | |
| 96372 | 405 | 323 | $1K | |
| 99335 | 569 | 560 | $1K | |
| 99202 | 95 | 57 | $1K | |
| 90710 | 39 | 25 | $1K | |
| G0469 | Fqhc visit, mh new pt | 29 | 29 | $916.98 |
| 81002 | 998 | 749 | $724.57 | |
| D0330 | 87 | 46 | $722.00 | |
| D0270 | 648 | 351 | $705.00 | |
| D0272 | 101 | 71 | $403.00 | |
| 90471 | 402 | 344 | $362.86 | |
| J1885 | Ketorolac tromethamine inj | 99 | 68 | $344.15 |
| 99211 | 64 | 28 | $298.37 | |
| 99315 | 55 | 31 | $281.60 | |
| 99173 | 1,002 | 860 | $280.92 | |
| 85018 | 377 | 273 | $252.13 | |
| 99205 | Prolong outpt/office vis | 22 | 13 | $248.10 |
| 90651 | 22 | 13 | $168.75 | |
| G0180 | Md certification hha patient | 16 | 12 | $146.14 |
| 81025 | 68 | 44 | $105.67 | |
| 99316 | 52 | 39 | $93.20 | |
| 81000 | 251 | 233 | $48.73 | |
| 99000 | 48 | 29 | $47.19 | |
| 90713 | 14 | 12 | $40.50 | |
| 81007 | 16 | 13 | $5.58 | |
| 82948 | 17 | 15 | $2.71 | |
| 3074F | 1,389 | 935 | $0.00 | |
| 3079F | 535 | 377 | $0.00 | |
| 3075F | 398 | 287 | $0.00 | |
| D1310 | 17 | 17 | $0.00 | |
| G0439 | Ppps, subseq visit | 36 | 36 | $0.00 |
| 3080F | 168 | 110 | $0.00 | |
| D0140 | 27 | 14 | $0.00 | |
| D0603 | 22 | 12 | $0.00 | |
| D1330 | 17 | 17 | $0.00 | |
| 3078F | 1,335 | 930 | $0.00 | |
| 3077F | 393 | 249 | $0.00 | |
| 99337 | 36 | 36 | $0.00 | |
| 90791 | 301 | 293 | $0.00 | |
| G0468 | Fqhc visit, ippe or awv | 48 | 48 | $0.00 |