NPI: 1083360200 · SALEM, NH 03079 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 740 | $27K |
| 2024 | 9,766 | $731K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99285 | 5,092 | 5,034 | $430K | |
| 99284 | 2,972 | 2,943 | $242K | |
| 77067 | 204 | 204 | $16K | |
| 73721 | 76 | 72 | $13K | |
| 93306 | 128 | 127 | $8K | |
| 74183 | 27 | 27 | $7K | |
| 99204 | 88 | 88 | $7K | |
| 74177 | 65 | 64 | $7K | |
| A9575 | Inj gadoterate meglumi 0.1ml | 403 | 385 | $6K |
| 72148 | 24 | 24 | $4K | |
| 77063 | 203 | 203 | $3K | |
| 71260 | 77 | 76 | $3K | |
| 70553 | 17 | 15 | $3K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 283 | 279 | $3K |
| 70551 | 12 | 12 | $2K | |
| 99203 | 25 | 24 | $2K | |
| 99214 | 55 | 50 | $849.78 | |
| 36415 | 616 | 521 | $655.43 | |
| 76536 | 14 | 13 | $547.80 | |
| 97110 | 25 | 12 | $513.35 | |
| 73562 | 30 | 28 | $479.92 | |
| 73030 | 28 | 24 | $319.06 | |
| 73610 | 14 | 14 | $242.36 | |
| 73630 | 15 | 15 | $237.02 | |
| 71046 | 13 | 12 | $151.68 |