NPI: 1114219615 · FAYETTEVILLE, NY 13066 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,969 | $46K |
| 2020 | 694 | $41K |
| 2021 | 655 | $30K |
| 2022 | 201 | $3K |
| 2023 | 103 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 641 | 641 | $30K | |
| D2392 | 301 | 130 | $29K | |
| D0120 | 590 | 590 | $19K | |
| D1351 | 211 | 71 | $9K | |
| D1208 | 440 | 440 | $6K | |
| D2930 | 42 | 26 | $5K | |
| D1206 | 125 | 125 | $4K | |
| D0272 | 264 | 264 | $4K | |
| D7140 | 58 | 43 | $3K | |
| D0150 | 100 | 100 | $3K | |
| D1110 | 56 | 56 | $3K | |
| D1353 | 106 | 45 | $2K | |
| D0274 | 49 | 49 | $1K | |
| D3220 | 14 | 12 | $1K | |
| D0220 | 104 | 103 | $1K | |
| D2391 | 20 | 15 | $1K | |
| D0230 | 41 | 41 | $234.00 | |
| D0601 | 28 | 28 | $0.00 | |
| D0602 | 27 | 27 | $0.00 | |
| D1330 | 260 | 260 | $0.00 | |
| D0603 | 145 | 145 | $0.00 |