NPI: 1093895625 · SYRACUSE, NY 13203 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,896 | $219K |
| 2019 | 5,210 | $239K |
| 2020 | 2,349 | $125K |
| 2021 | 3,292 | $125K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | 4,922 | 4,479 | $703K | |
| D1110 | 1,139 | 1,139 | $2K | |
| D7140 | 536 | 313 | $951.00 | |
| D0120 | 1,737 | 1,735 | $638.00 | |
| D0220 | 1,097 | 1,074 | $340.00 | |
| D0274 | 722 | 722 | $318.00 | |
| D0150 | 561 | 561 | $203.00 | |
| D0140 | 277 | 276 | $168.00 | |
| D2392 | 486 | 388 | $165.90 | |
| D2391 | 422 | 336 | $160.89 | |
| D0230 | 79 | 78 | $71.00 | |
| D0330 | 335 | 335 | $40.00 | |
| D0272 | 383 | 382 | $17.00 | |
| D1120 | 1,107 | 1,107 | $0.00 | |
| D1208 | 1,334 | 1,334 | $0.00 | |
| D0999 | 538 | 465 | $0.00 | |
| D1351 | 72 | 20 | $0.00 |