NPI: 1952937559 · DINUBA, CA 93618 · Case Manager/Care Coordinator · NPI assigned 03/16/2020
Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
| Authorized Official | LOPEZ, MARY LOU (DIRECTOR OF BILLING) |
| NPI Enumeration Date | 03/16/2020 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12,203 | $681K |
| 2022 | 15,986 | $1.17M |
| 2023 | 42,891 | $1.68M |
| 2024 | 53,586 | $1.62M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 14,950 | 10,378 | $2.63M |
| T1015 | Clinic visit/encounter, all-inclusive | 17,342 | 13,140 | $2.35M |
| 0001A | 551 | 300 | $25K | |
| 0012A | 552 | 316 | $24K | |
| 0002A | 510 | 276 | $23K | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 574 | 402 | $20K |
| 0011A | 371 | 212 | $15K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16,720 | 9,588 | $12K |
| 0064A | 248 | 151 | $10K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 1,388 | 782 | $9K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6,769 | 3,901 | $6K |
| 0004A | 137 | 86 | $6K | |
| 0071A | 129 | 69 | $6K | |
| 0031A | 93 | 54 | $4K | |
| 0072A | 107 | 67 | $4K | |
| 0013A | 28 | 16 | $1K | |
| G9920 | Screening performed and negative | 179 | 127 | $1K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 290 | 190 | $400.14 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 358 | 229 | $373.13 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 15 | 15 | $233.85 |
| 81025 | 682 | 518 | $33.45 | |
| 90658 | 46 | 46 | $23.84 | |
| 81003 | 1,185 | 854 | $11.78 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 517 | 410 | $6.59 |
| 90688 | 222 | 165 | $4.18 | |
| 85018 | 713 | 550 | $2.10 | |
| 82962 | 127 | 70 | $0.66 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2,030 | 1,480 | $0.57 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 173 | 151 | $0.01 |
| 3078F | 5,818 | 4,289 | $0.00 | |
| D1120 | Prophylaxis - child | 853 | 849 | $0.00 |
| D0274 | Bitewings - four radiographic images | 893 | 892 | $0.00 |
| D1110 | Prophylaxis - adult | 396 | 396 | $0.00 |
| 3725F | 5,344 | 3,852 | $0.00 | |
| 3077F | 301 | 257 | $0.00 | |
| 1159F | 3,446 | 2,183 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 545 | 526 | $0.00 |
| D9430 | 476 | 457 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 45 | 37 | $0.00 |
| 1160F | 3,446 | 2,183 | $0.00 | |
| 99173 | 470 | 385 | $0.00 | |
| D0270 | 138 | 136 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 32 | 32 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 14 | 14 | $0.00 |
| D4341 | 58 | 27 | $0.00 | |
| D2940 | 33 | 29 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13 | 13 | $0.00 |
| 3008F | 7,097 | 5,168 | $0.00 | |
| 3074F | 5,631 | 4,168 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 5,704 | 1,217 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 226 | 187 | $0.00 |
| 1036F | 6,180 | 4,332 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 504 | 499 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 254 | 251 | $0.00 |
| 92551 | 360 | 299 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 1,037 | 1,014 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 696 | 696 | $0.00 |
| 3075F | 832 | 699 | $0.00 | |
| 3079F | 927 | 783 | $0.00 | |
| 1125F | 867 | 656 | $0.00 | |
| 1126F | 4,328 | 3,394 | $0.00 | |
| 1034F | 69 | 49 | $0.00 | |
| D0603 | 133 | 128 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 49 | 49 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 37 | 37 | $0.00 |
| 91306 | 12 | 12 | $0.00 | |
| D0602 | 130 | 129 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 190 | 118 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14 | 14 | $0.00 |
| 90656 | 18 | 18 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 20 | 12 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 24 | 15 | $0.00 |