NPI: 1023017894 · ERIE, PA 16501 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 193 | $9K |
| 2021 | 1,375 | $64K |
| 2022 | 1,821 | $92K |
| 2023 | 2,721 | $128K |
| 2024 | 2,643 | $137K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,105 | 3,760 | $429K |
| 0011A | 31 | 31 | $372.26 | |
| 0012A | 14 | 14 | $233.22 | |
| G0467 | Fqhc visit, estab pt | 682 | 661 | $195.00 |
| 0064A | 14 | 13 | $80.00 | |
| 99214 | 2,097 | 1,982 | $66.14 | |
| 3074F | 50 | 50 | $25.00 | |
| 3078F | 59 | 59 | $25.00 | |
| 83036 | 371 | 366 | $0.00 | |
| 99213 | 975 | 928 | $0.00 | |
| 3079F | 27 | 27 | $0.00 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |
| 91306 | 16 | 14 | $0.00 | |
| 3044F | 26 | 26 | $0.00 | |
| 99215 | Prolong outpt/office vis | 262 | 256 | $0.00 |
| 3077F | 12 | 12 | $0.00 |