NPI: 1164489514 · GLOUCESTER, MA 01930 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 749 | $25K |
| 2019 | 679 | $24K |
| 2020 | 1,551 | $54K |
| 2021 | 2,065 | $65K |
| 2022 | 1,689 | $56K |
| 2023 | 556 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 3,051 | 2,450 | $171K | |
| 90460 | 438 | 430 | $19K | |
| 96110 | 1,167 | 1,147 | $12K | |
| S0302 | Completed epsdt | 1,098 | 1,071 | $10K |
| 99212 | 278 | 236 | $9K | |
| 87880 | 201 | 195 | $3K | |
| 99177 | 493 | 493 | $3K | |
| 99393 | 26 | 24 | $2K | |
| 99214 | 25 | 25 | $2K | |
| 90471 | 93 | 93 | $2K | |
| 0003A | 41 | 41 | $2K | |
| 99394 | 13 | 13 | $1K | |
| 99391 | 13 | 12 | $1K | |
| 99211 | 63 | 58 | $1K | |
| 0002A | 17 | 17 | $779.96 | |
| 0072A | 15 | 15 | $688.20 | |
| 0071A | 12 | 12 | $550.56 | |
| 90461 | 13 | 13 | $511.68 | |
| 85018 | 114 | 114 | $243.23 | |
| 91300 | 65 | 57 | $0.31 | |
| 91307 | 53 | 46 | $0.15 |