NPI: 1053368225 · FAIRFAX, VA 22032 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,056 | $8K |
| 2019 | 1,010 | $16K |
| 2020 | 579 | $11K |
| 2021 | 643 | $13K |
| 2022 | 626 | $15K |
| 2023 | 620 | $15K |
| 2024 | 340 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 3,337 | 2,717 | $89K | |
| 36415 | 964 | 905 | $1K | |
| 90688 | 30 | 29 | $33.64 | |
| G0008 | Admin influenza virus vac | 77 | 58 | $29.75 |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 17 | 12 | $25.28 |
| 1100F | 103 | 69 | $0.00 | |
| 3288F | 106 | 72 | $0.00 | |
| 3725F | 39 | 27 | $0.00 | |
| 1101F | 104 | 70 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 97 | 69 | $0.00 |