NPI: 1053369447 · HARRISBURG, PA 17109 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 31 | $838.04 |
| 2021 | 457 | $16K |
| 2022 | 886 | $30K |
| 2023 | 2,035 | $72K |
| 2024 | 2,004 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,374 | 3,240 | $164K | |
| 99213 | 511 | 492 | $15K | |
| 99215 | Prolong outpt/office vis | 94 | 92 | $7K |
| 99395 | 113 | 113 | $3K | |
| 90471 | 105 | 104 | $1K | |
| 90674 | 92 | 76 | $11.00 | |
| G8510 | Scr dep neg, no plan reqd | 1,040 | 1,031 | $0.00 |
| 90673 | 33 | 33 | $0.00 | |
| G0008 | Admin influenza virus vac | 17 | 17 | $0.00 |
| G9919 | Scrn nd pos nd prov of rec | 17 | 17 | $0.00 |
| 90661 | 17 | 17 | $0.00 |