NPI: 1891711909 · FOUNTAIN VALLEY, CA 92708 · 207RI0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,688 | $65K |
| 2019 | 2,191 | $49K |
| 2020 | 4,929 | $76K |
| 2021 | 6,903 | $85K |
| 2022 | 3,991 | $40K |
| 2023 | 800 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99233 | Prolong inpt eval add15 m | 4,742 | 1,285 | $90K |
| 99214 | 2,032 | 1,785 | $83K | |
| 99215 | Prolong outpt/office vis | 1,184 | 1,020 | $69K |
| 99223 | Prolong inpt eval add15 m | 1,282 | 1,221 | $38K |
| 94760 | 2,590 | 2,454 | $15K | |
| 99212 | 525 | 407 | $12K | |
| Q3014 | Telehealth facility fee | 373 | 349 | $6K |
| 99204 | 69 | 56 | $5K | |
| 99232 | 156 | 43 | $3K | |
| 99213 | 95 | 65 | $3K | |
| 99239 | 393 | 381 | $2K | |
| 99309 | 515 | 190 | $1K | |
| T1014 | Telehealth transmit, per min | 374 | 348 | $1K |
| G8510 | Scr dep neg, no plan reqd | 33 | 32 | $452.30 |
| 82962 | 91 | 91 | $131.89 | |
| 96127 | 34 | 33 | $12.40 | |
| 1036F | 1,464 | 1,408 | $0.02 | |
| G8417 | Calc bmi abv up param f/u | 25 | 25 | $0.01 |
| 1125F | 158 | 154 | $0.01 | |
| 3078F | 828 | 805 | $0.00 | |
| 1160F | 1,422 | 1,366 | $0.00 | |
| 3077F | 13 | 13 | $0.00 | |
| 1159F | 71 | 70 | $0.00 | |
| 4004F | 12 | 12 | $0.00 | |
| 1126F | 1,052 | 1,016 | $0.00 | |
| 3074F | 1,030 | 994 | $0.00 | |
| 3008F | 483 | 439 | $0.00 | |
| 1111F | 186 | 181 | $0.00 | |
| 3079F | 231 | 227 | $0.00 | |
| 3075F | 26 | 25 | $0.00 | |
| G8420 | Calc bmi norm parameters | 13 | 13 | $0.00 |