NPI: 1912313602 · YUCAIPA, CA 92399 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 845 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99349 | 217 | 204 | $9K | |
| 99350 | Prolong home eval add 15m | 27 | 25 | $2K |
| 99343 | 17 | 17 | $922.64 | |
| 99490 | Ccm add 20min | 16 | 16 | $34.66 |
| 1126F | 125 | 120 | $0.00 | |
| 3079F | 49 | 47 | $0.00 | |
| 3080F | 13 | 12 | $0.00 | |
| 1125F | 95 | 88 | $0.00 | |
| 3074F | 104 | 98 | $0.00 | |
| 3075F | 14 | 14 | $0.00 | |
| 3077F | 57 | 55 | $0.00 | |
| 3078F | 111 | 105 | $0.00 |