NPI: 1144337189 · PHILADELPHIA, PA 19104 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,910 | $246K |
| 2019 | 655 | $371K |
| 2020 | 4,257 | $822K |
| 2021 | 10,190 | $1.51M |
| 2022 | 13,137 | $1.86M |
| 2023 | 9,086 | $1.46M |
| 2024 | 6,460 | $846K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 29,326 | 26,775 | $7.11M |
| 0124A | 40 | 40 | $1K | |
| 0134A | 48 | 48 | $960.00 | |
| 0002A | 15 | 15 | $330.34 | |
| 0064A | 38 | 38 | $200.00 | |
| 90686 | 565 | 564 | $22.35 | |
| 99395 | 415 | 402 | $22.00 | |
| 90460 | 1,426 | 1,411 | $20.00 | |
| 81025 | 1,291 | 1,204 | $8.80 | |
| 99212 | 2,275 | 2,192 | $0.00 | |
| 99173 | 942 | 929 | $0.00 | |
| 99393 | 161 | 157 | $0.00 | |
| 99394 | 53 | 52 | $0.00 | |
| 90461 | 164 | 163 | $0.00 | |
| 99396 | 25 | 25 | $0.00 | |
| 99392 | 38 | 38 | $0.00 | |
| 91313 | 17 | 17 | $0.00 | |
| 99213 | 6,250 | 5,835 | $0.00 | |
| 97802 | 485 | 460 | $0.00 | |
| 99214 | 763 | 751 | $0.00 | |
| 90656 | 58 | 58 | $0.00 | |
| 92551 | 559 | 551 | $0.00 | |
| 3008F | 372 | 348 | $0.00 | |
| 90471 | 124 | 124 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 164 | 142 | $0.00 |
| 96372 | 48 | 48 | $0.00 | |
| 91306 | 13 | 13 | $0.00 | |
| 1111F | 20 | 18 | $0.00 |