NPI: 1124080353 · SPRINGFIELD, MA 01108 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,348 | $422K |
| 2019 | 6,956 | $400K |
| 2020 | 3,971 | $245K |
| 2021 | 5,362 | $304K |
| 2022 | 5,617 | $372K |
| 2023 | 1,624 | $107K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 5,138 | 4,797 | $878K |
| 99393 | 1,219 | 1,218 | $215K | |
| 99394 | 1,001 | 1,001 | $179K | |
| 90460 | 4,279 | 4,262 | $167K | |
| 99392 | 897 | 895 | $160K | |
| 99391 | 471 | 455 | $85K | |
| 99173 | 2,057 | 2,057 | $46K | |
| 96110 | 4,511 | 4,473 | $46K | |
| S0302 | Completed epsdt | 4,752 | 4,711 | $43K |
| 92551 | 2,213 | 2,213 | $22K | |
| 99395 | 14 | 14 | $2K | |
| 90651 | 422 | 422 | $2K | |
| 90686 | 1,977 | 1,976 | $1K | |
| 87804 | 102 | 102 | $1K | |
| 87880 | 56 | 55 | $661.36 | |
| 90734 | 482 | 482 | $654.10 | |
| 90670 | 565 | 565 | $384.00 | |
| 99188 | 14 | 14 | $364.00 | |
| 90715 | 119 | 118 | $257.47 | |
| 90649 | 19 | 19 | $137.59 | |
| 90633 | 488 | 488 | $0.00 | |
| 90710 | 68 | 68 | $0.00 | |
| 90716 | 14 | 14 | $0.00 |