NPI: 1043869340
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,136 | $22K |
| 2021 | 297 | $8K |
| 2022 | 172 | $4K |
| 2023 | 69 | $2K |
| 2024 | 81 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 937 | 873 | $13K | |
| 90471 | 1,071 | 1,050 | $12K | |
| 0064A | 95 | 95 | $4K | |
| 91322 | 25 | 25 | $3K | |
| 0134A | 46 | 46 | $2K | |
| 90674 | 71 | 71 | $2K | |
| 0012A | 35 | 35 | $1K | |
| 0011A | 32 | 32 | $1K | |
| 90480 | 26 | 26 | $1K | |
| 90661 | 15 | 15 | $384.01 | |
| 90654 | 28 | 28 | $0.00 | |
| K1034 | Covid test self-admn/collect | 12 | 12 | $0.00 |
| S9430 | Pharmacy comp/disp serv | 362 | 289 | $0.00 |