NPI: 1962109033 · LOS ANGELES, CA 90012 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $0.00 |
| 2024 | 8,342 | $194K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99385 | 221 | 221 | $38K | |
| 99211 | 1,316 | 1,170 | $27K | |
| 99213 | 300 | 294 | $13K | |
| 99212 | 475 | 442 | $12K | |
| 99203 | 174 | 174 | $12K | |
| 87389 | 640 | 636 | $12K | |
| 90716 | 130 | 130 | $10K | |
| 90713 | 257 | 257 | $9K | |
| 87661 | 255 | 252 | $7K | |
| 99202 | 141 | 140 | $7K | |
| 99386 | 37 | 37 | $6K | |
| 90686 | 202 | 202 | $3K | |
| 86480 | 87 | 85 | $3K | |
| 99204 | 31 | 31 | $3K | |
| H0033 | Oral med adm direct observe | 343 | 41 | $3K |
| 87116 | 350 | 230 | $3K | |
| 85025 | 407 | 389 | $2K | |
| 80076 | 369 | 344 | $2K | |
| 87491 | 83 | 53 | $2K | |
| 99383 | 16 | 16 | $2K | |
| 87591 | 83 | 53 | $2K | |
| 99214 | 30 | 30 | $2K | |
| 71045 | 217 | 216 | $2K | |
| 99382 | 13 | 13 | $2K | |
| J0561 | Penicillin g benzathine inj | 79 | 59 | $1K |
| 90480 | 30 | 30 | $1K | |
| 90746 | 15 | 15 | $1K | |
| 90707 | 14 | 14 | $1K | |
| 86803 | 63 | 63 | $801.02 | |
| 90633 | 81 | 81 | $729.00 | |
| 90715 | 27 | 27 | $581.48 | |
| 87556 | 22 | 16 | $549.15 | |
| 86706 | 46 | 46 | $416.38 | |
| 87340 | 47 | 47 | $401.07 | |
| 80053 | 41 | 40 | $390.74 | |
| 90471 | 153 | 151 | $373.48 | |
| 86780 | 39 | 39 | $306.01 | |
| 0250 | 388 | 149 | $282.82 | |
| 86580 | 56 | 56 | $170.86 | |
| 90744 | 16 | 16 | $144.00 | |
| 91322 | 284 | 284 | $139.00 | |
| 86704 | 12 | 12 | $134.18 | |
| 82565 | 27 | 26 | $110.35 | |
| 90710 | 12 | 12 | $99.00 | |
| 86593 | 14 | 14 | $40.06 | |
| 36415 | 391 | 378 | $35.50 | |
| 3074F | 138 | 134 | $0.00 | |
| 1111F | 36 | 35 | $0.00 | |
| 3078F | 149 | 146 | $0.00 |