NPI: 1104492115 · FULTON, MD 20759 · 207QG0300X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 241 | $4K |
| 2023 | 3,427 | $70K |
| 2024 | 3,439 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 1,533 | 1,461 | $54K |
| 99489 | Ccm add 20min | 927 | 924 | $37K |
| 99439 | 926 | 921 | $23K | |
| 99349 | 504 | 482 | $13K | |
| 99490 | Ccm add 20min | 1,623 | 1,615 | $11K |
| 99487 | Ccm add 20min | 1,204 | 1,201 | $8K |
| 99497 | 72 | 71 | $2K | |
| 99493 | 91 | 91 | $2K | |
| G0439 | Ppps, subseq visit | 57 | 56 | $1K |
| 99458 | 37 | 37 | $972.49 | |
| 99345 | Prolong home eval add 15m | 25 | 25 | $589.56 |
| 90694 | 13 | 13 | $253.63 | |
| 99457 | 80 | 80 | $167.76 | |
| G0008 | Admin influenza virus vac | 15 | 15 | $0.00 |