NPI: 1013907179 · HOLYOKE, MA 01040 · 363LP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 547 | $33K |
| 2023 | 200 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0241U | 123 | 123 | $17K | |
| 99214 | 110 | 106 | $12K | |
| 99213 | 107 | 105 | $6K | |
| 90460 | 88 | 88 | $4K | |
| 99392 | 32 | 32 | $3K | |
| 90461 | 30 | 30 | $1K | |
| S0302 | Completed epsdt | 109 | 109 | $986.45 |
| 96110 | 81 | 78 | $883.22 | |
| 96127 | 26 | 26 | $277.29 | |
| 94640 | 14 | 12 | $202.30 | |
| 94760 | 15 | 15 | $29.70 | |
| J7613 | Albuterol non-comp unit | 12 | 12 | $21.00 |