NPI: 1013288273 · MIDDLETOWN, NY 10941 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 55 | $4K |
| 2019 | 724 | $34K |
| 2020 | 509 | $48K |
| 2021 | 717 | $96K |
| 2022 | 1,240 | $140K |
| 2023 | 321 | $28K |
| 2024 | 54 | $800.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76816 | 1,011 | 981 | $118K | |
| 74177 | 417 | 417 | $104K | |
| 76830 | 154 | 154 | $18K | |
| 76805 | 153 | 153 | $18K | |
| 71250 | 188 | 188 | $18K | |
| 74176 | 128 | 127 | $17K | |
| 71046 | 490 | 489 | $11K | |
| 73562 | 325 | 288 | $11K | |
| 77067 | 44 | 44 | $6K | |
| 73630 | 210 | 191 | $6K | |
| 74183 | 16 | 16 | $4K | |
| 76641 | 52 | 40 | $4K | |
| 76819 | 41 | 37 | $4K | |
| 76817 | 31 | 31 | $3K | |
| 73610 | 56 | 52 | $2K | |
| 71260 | 12 | 12 | $2K | |
| 73030 | 69 | 64 | $1K | |
| 76770 | 14 | 14 | $954.74 | |
| A9585 | Gadobutrol injection | 43 | 30 | $474.27 |
| 76536 | 15 | 15 | $409.65 | |
| 73110 | 12 | 12 | $314.22 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 139 | 136 | $191.12 |