25 ARMORY STREET OPERATOR LLC
NPI: 1093244550
· WEST NEWTON, MA 02465
· 314000000X
$351K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
180 |
$2K |
| 2020 |
138 |
$1K |
| 2022 |
48 |
$1K |
| 2023 |
1,863 |
$81K |
| 2024 |
5,953 |
$266K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle mod 1st stage |
3,658 |
123 |
$178K |
| S0341 |
Lifestyle mod 2 or 3 stage |
3,873 |
126 |
$167K |
| 97530 |
|
460 |
62 |
$6K |
| 97110 |
|
133 |
12 |
$242.41 |
| 90688 |
|
28 |
28 |
$0.00 |
| G0008 |
Admin influenza virus vac |
30 |
30 |
$0.00 |