NPI: 1114066297 · WASHINGTON, DC 20001 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,012 | $867K |
| 2019 | 18,326 | $921K |
| 2020 | 11,717 | $215K |
| 2021 | 4,848 | $56K |
| 2022 | 2,212 | $7K |
| 2023 | 1,955 | $102K |
| 2024 | 1,788 | $177K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 19,947 | 12,673 | $2.33M |
| D0120 | 230 | 220 | $5K | |
| D7140 | 73 | 27 | $2K | |
| D0330 | 79 | 76 | $2K | |
| D0274 | 30 | 25 | $760.00 | |
| D0140 | 50 | 37 | $616.06 | |
| D0220 | 33 | 24 | $123.04 | |
| G0467 | Fqhc visit, estab pt | 8,231 | 3,564 | $114.09 |
| 99212 | 3,598 | 2,586 | $0.00 | |
| 81002 | 469 | 418 | $0.00 | |
| D2999 | 454 | 389 | $0.00 | |
| 99211 | 84 | 66 | $0.00 | |
| 90832 | 263 | 220 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 61 | 31 | $0.00 |
| D1110 | 12 | 12 | $0.00 | |
| 11721 | 17 | 13 | $0.00 | |
| 83036 | 747 | 682 | $0.00 | |
| 99214 | 4,879 | 3,592 | $0.00 | |
| 99213 | 14,728 | 9,729 | $0.00 | |
| D0999 | 935 | 849 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 360 | 172 | $0.00 |
| 82962 | 2,741 | 1,861 | $0.00 | |
| 90471 | 697 | 661 | $0.00 | |
| 90688 | 767 | 613 | $0.00 | |
| G0008 | Admin influenza virus vac | 267 | 150 | $0.00 |
| 90686 | 82 | 61 | $0.00 | |
| D1330 | 12 | 12 | $0.00 | |
| D1208 | 12 | 12 | $0.00 |