NPI: 1982079620 · FRESNO, CA 93726 · Case Manager/Care Coordinator · NPI assigned 12/07/2015
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 | 12/07/2015 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 34,509 | $3.67M |
| 2019 | 38,916 | $3.54M |
| 2020 | 46,489 | $3.12M |
| 2021 | 69,906 | $4.09M |
| 2022 | 62,339 | $2.34M |
| 2023 | 84,524 | $2.06M |
| 2024 | 13,713 | $664K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 73,030 | 52,206 | $9.70M |
| 00003 | Internal/system code - not a standard HCPCS code | 55,649 | 25,047 | $9.42M |
| 0001A | 898 | 490 | $40K | |
| 0002A | 872 | 473 | $39K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9,242 | 7,954 | $32K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12,191 | 10,798 | $29K |
| 90834 | Psychotherapy, 45 minutes with patient | 2,781 | 1,299 | $26K |
| V2020 | Frames, purchases | 15,456 | 15,438 | $20K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 10,322 | 5,946 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12,428 | 12,410 | $17K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 59,606 | 32,613 | $13K |
| 0012A | 290 | 179 | $13K | |
| 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 | 1,834 | 1,389 | $12K |
| 0004A | 268 | 173 | $12K | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,800 | 904 | $12K |
| 92015 | Determination of refractive state | 21,723 | 19,061 | $12K |
| 0011A | 329 | 202 | $11K | |
| 0064A | 226 | 149 | $9K | |
| 0071A | 147 | 81 | $6K | |
| 0031A | 115 | 65 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | 376 | 327 | $5K |
| 98940 | 1,266 | 872 | $4K | |
| 92341 | 2,089 | 2,088 | $4K | |
| 0072A | 99 | 63 | $4K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,247 | 2,421 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12,207 | 3,870 | $1K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 414 | 269 | $1K |
| 0013A | 22 | 14 | $960.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 662 | 511 | $942.73 |
| S9455 | Diabetic management program, group session | 13 | 12 | $390.00 |
| 92133 | 359 | 266 | $377.08 | |
| 92250 | 515 | 371 | $345.07 | |
| 90715 | 327 | 267 | $244.89 | |
| 81003 | 2,195 | 1,558 | $142.09 | |
| 85018 | 3,140 | 2,234 | $107.94 | |
| 90688 | 992 | 869 | $104.88 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 233 | 205 | $78.60 |
| 99173 | 1,547 | 1,058 | $54.46 | |
| 81025 | 690 | 453 | $41.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 124 | 120 | $33.69 |
| 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 | 340 | 340 | $15.59 |
| 92020 | 116 | 90 | $14.76 | |
| 76514 | 79 | 55 | $9.11 | |
| 82962 | 108 | 95 | $7.56 | |
| 3074F | 2,330 | 1,515 | $0.00 | |
| 90686 | 797 | 679 | $0.00 | |
| 3079F | 782 | 515 | $0.00 | |
| 1125F | 356 | 250 | $0.00 | |
| 3008F | 3,319 | 2,119 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 3,947 | 885 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 379 | 267 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 745 | 740 | $0.00 |
| 3075F | 531 | 382 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 119 | 119 | $0.00 |
| 1126F | 2,447 | 1,629 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 318 | 253 | $0.00 |
| 1036F | 3,967 | 2,320 | $0.00 | |
| D0602 | 87 | 87 | $0.00 | |
| 86580 | 71 | 54 | $0.00 | |
| 92551 | 1,536 | 1,042 | $0.00 | |
| 3080F | 24 | 16 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 139 | 139 | $0.00 |
| D0603 | 284 | 282 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 177 | 115 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 30 | 30 | $0.00 |
| 87428 | 272 | 140 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 31 | 31 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 31 | 27 | $0.00 |
| 91307 | 24 | 24 | $0.00 | |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | 593 | 472 | $0.00 |
| 1160F | 3,976 | 2,397 | $0.00 | |
| 3725F | 3,081 | 1,925 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 632 | 631 | $0.00 |
| D0270 | 150 | 148 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 316 | 305 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 37 | 37 | $0.00 |
| 3078F | 2,216 | 1,474 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 102 | 65 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 73 | 50 | $0.00 |
| D1120 | Prophylaxis - child | 517 | 513 | $0.00 |
| D1110 | Prophylaxis - adult | 229 | 228 | $0.00 |
| D9430 | 318 | 306 | $0.00 | |
| 1159F | 3,976 | 2,397 | $0.00 | |
| 3077F | 184 | 132 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 207 | 125 | $0.00 |
| 90670 | 19 | 17 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 169 | 108 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 140 | 140 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 91 | 68 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 219 | 160 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 16 | 13 | $0.00 |