NPI: 1902453731 · LOS ANGELES, CA 90057 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 93 | $9K |
| 2020 | 41,851 | $2.29M |
| 2021 | 62,731 | $3.33M |
| 2022 | 61,430 | $2.99M |
| 2023 | 92,181 | $4.54M |
| 2024 | 111,327 | $3.84M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 96,426 | 82,776 | $16.88M |
| 99213 | 105,835 | 63,716 | $31K | |
| 90834 | 3,833 | 1,778 | $28K | |
| 99212 | 33,895 | 22,107 | $14K | |
| 90791 | 1,441 | 786 | $14K | |
| 99203 | 2,021 | 1,302 | $7K | |
| 99214 | 19,552 | 12,878 | $5K | |
| 90832 | 895 | 430 | $3K | |
| 0124A | 260 | 190 | $2K | |
| 99204 | 619 | 365 | $2K | |
| 0001A | 54 | 33 | $2K | |
| 90686 | 4,549 | 2,988 | $1K | |
| 11750 | 376 | 195 | $504.84 | |
| 99395 | 3,432 | 2,668 | $493.92 | |
| G2025 | Dis site tele svcs rhc/fqhc | 628 | 504 | $365.21 |
| 90471 | 10,998 | 8,050 | $364.45 | |
| G0467 | Fqhc visit, estab pt | 13 | 13 | $358.83 |
| 99385 | 677 | 439 | $342.30 | |
| 81025 | 3,285 | 2,210 | $264.60 | |
| 99202 | 1,715 | 1,655 | $236.95 | |
| 90715 | 1,023 | 777 | $232.68 | |
| G9012 | Other specified case mgmt | 84 | 54 | $199.96 |
| 59425 | 328 | 300 | $187.89 | |
| H1003 | Prenatal at risk education | 918 | 832 | $168.20 |
| T1013 | Sign lang/oral interpreter | 4,534 | 2,479 | $154.88 |
| 83036 | 2,801 | 1,837 | $100.88 | |
| 81002 | 5,820 | 2,757 | $77.40 | |
| 90662 | 85 | 67 | $47.24 | |
| 99401 | 251 | 240 | $42.07 | |
| 96156 | 283 | 282 | $42.07 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 952 | 885 | $24.76 |
| J1885 | Ketorolac tromethamine inj | 1,141 | 629 | $4.35 |
| 3077F | 1,047 | 999 | $0.00 | |
| Z6200 | 97 | 97 | $0.00 | |
| 0502F | 5,614 | 4,334 | $0.00 | |
| 3078F | 3,000 | 2,843 | $0.00 | |
| 99396 | 563 | 490 | $0.00 | |
| 1160F | 11,804 | 10,744 | $0.00 | |
| Z6400 | 942 | 898 | $0.00 | |
| 87811 | 108 | 92 | $0.00 | |
| 1159F | 12,282 | 11,173 | $0.00 | |
| 90746 | 300 | 210 | $0.00 | |
| 90472 | 727 | 584 | $0.00 | |
| 99211 | 63 | 52 | $0.00 | |
| 87804 | 258 | 138 | $0.00 | |
| 91322 | 175 | 145 | $0.00 | |
| 91312 | 202 | 147 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 932 | 568 | $0.00 |
| 91320 | 266 | 223 | $0.00 | |
| 99442 | 100 | 94 | $0.00 | |
| Z6300 | 97 | 97 | $0.00 | |
| G9920 | Scrning perf and negative | 12 | 12 | $0.00 |
| 99215 | Prolong outpt/office vis | 12 | 12 | $0.00 |
| 87880 | 28 | 25 | $0.00 | |
| 91300 | 16 | 15 | $0.00 | |
| 3046F | 15 | 15 | $0.00 | |
| 80305 | 17 | 12 | $0.00 | |
| 97803 | 12 | 12 | $0.00 | |
| 3074F | 3,024 | 2,876 | $0.00 | |
| 1126F | 5,323 | 5,124 | $0.00 | |
| J3420 | Vitamin b12 injection | 847 | 639 | $0.00 |
| 3075F | 755 | 735 | $0.00 | |
| Z1034 | 569 | 522 | $0.00 | |
| 90656 | 1,086 | 899 | $0.00 | |
| 96372 | 1,786 | 1,053 | $0.00 | |
| 90480 | 782 | 649 | $0.00 | |
| 1125F | 1,488 | 1,443 | $0.00 | |
| 97802 | 75 | 75 | $0.00 | |
| 3044F | 41 | 41 | $0.00 | |
| 3079F | 2,498 | 2,410 | $0.00 | |
| Z1032 | 16 | 15 | $0.00 | |
| G0439 | Ppps, subseq visit | 42 | 40 | $0.00 |
| G9226 | 3 comp foot exam completed | 323 | 320 | $0.00 |
| 0500F | 104 | 102 | $0.00 | |
| 90677 | 223 | 169 | $0.00 | |
| 90739 | 272 | 234 | $0.00 | |
| 3351F | 1,958 | 1,695 | $0.00 | |
| 1111F | 520 | 508 | $0.00 | |
| Z6410 | 57 | 56 | $0.00 | |
| 20550 | 174 | 94 | $0.00 | |
| 99386 | 43 | 37 | $0.00 | |
| Z6402 | 97 | 97 | $0.00 | |
| 87426 | 32 | 30 | $0.00 | |
| 99243 | 23 | 17 | $0.00 | |
| 3080F | 14 | 14 | $0.00 | |
| 3353F | 12 | 12 | $0.00 | |
| 90651 | 16 | 14 | $0.00 |