NPI: 1114326113 · SPRINGFIELD, MA 01103 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,751 | $153K |
| 2019 | 711 | $72K |
| 2020 | 843 | $112K |
| 2021 | 564 | $76K |
| 2022 | 309 | $52K |
| 2023 | 113 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 2,644 | 2,566 | $443K |
| 99395 | 93 | 93 | $16K | |
| 99396 | 81 | 80 | $6K | |
| 90686 | 309 | 309 | $6K | |
| 90471 | 228 | 228 | $5K | |
| 99385 | 25 | 25 | $4K | |
| S0302 | Completed epsdt | 435 | 434 | $4K |
| 90732 | 12 | 12 | $1K | |
| 83036 | 69 | 69 | $669.32 | |
| 81002 | 227 | 226 | $593.88 | |
| 82947 | 128 | 127 | $495.47 | |
| 90472 | 15 | 15 | $177.12 | |
| 91300 | 25 | 25 | $0.00 |