NPI: 1043563653 · SPRINGFIELD, MA 01103 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,232 | $250K |
| 2020 | 2,466 | $337K |
| 2021 | 2,146 | $265K |
| 2022 | 1,643 | $261K |
| 2023 | 359 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 6,064 | 5,725 | $1.05M |
| 99395 | 218 | 217 | $39K | |
| 99396 | 491 | 490 | $37K | |
| S0302 | Completed epsdt | 1,082 | 1,080 | $10K |
| 90686 | 501 | 501 | $10K | |
| 90750 | 87 | 87 | $7K | |
| 90471 | 158 | 158 | $3K | |
| 90715 | 70 | 70 | $2K | |
| 87880 | 87 | 87 | $1K | |
| 87804 | 17 | 17 | $212.58 | |
| 81002 | 27 | 27 | $70.30 | |
| 91300 | 44 | 44 | $0.00 |