NPI: 1922062074 · SANTA ANA, CA 92704 · 305R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,534 | $13K |
| 2019 | 1,757 | $3K |
| 2020 | 2,020 | $6K |
| 2021 | 2,749 | $19K |
| 2022 | 2,175 | $16K |
| 2023 | 939 | $10K |
| 2024 | 85 | $882.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7332 | Inj., triluron, 1 mg | 150 | 57 | $21K |
| 99213 | 6,603 | 4,833 | $21K | |
| 93306 | 165 | 165 | $5K | |
| G0438 | Ppps, initial visit | 53 | 53 | $2K |
| 93880 | 160 | 160 | $2K | |
| 90756 | 330 | 326 | $2K | |
| G0439 | Ppps, subseq visit | 71 | 70 | $1K |
| 96156 | 94 | 94 | $1K | |
| 99215 | Prolong outpt/office vis | 278 | 271 | $1K |
| 99497 | 149 | 149 | $1K | |
| 76700 | 183 | 182 | $966.13 | |
| 20610 | 597 | 254 | $964.26 | |
| 36415 | 647 | 621 | $863.07 | |
| 82947 | 2,015 | 1,664 | $854.45 | |
| 93000 | 231 | 223 | $810.21 | |
| Q2037 | Fluvirin vacc, 3 yrs & >, im | 95 | 94 | $801.17 |
| G0008 | Admin influenza virus vac | 351 | 347 | $784.33 |
| G0328 | Fecal blood scrn immunoassay | 171 | 163 | $766.77 |
| 76770 | 158 | 158 | $650.00 | |
| 99214 | 174 | 167 | $583.62 | |
| 90688 | 34 | 34 | $415.57 | |
| 93970 | 36 | 36 | $384.79 | |
| 96372 | 190 | 165 | $290.53 | |
| J7321 | Hyalgan supartz visco-3 dose | 154 | 59 | $48.00 |
| 90471 | 55 | 55 | $25.00 | |
| J3420 | Vitamin b12 injection | 101 | 92 | $21.55 |
| G8510 | Scr dep neg, no plan reqd | 14 | 14 | $0.00 |