NPI: 1174004774 · MANASSAS, VA 20109 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,106 | $59K |
| 2020 | 3,308 | $138K |
| 2021 | 4,769 | $223K |
| 2022 | 10,149 | $497K |
| 2023 | 12,618 | $687K |
| 2024 | 17,878 | $1.01M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 10,020 | 9,014 | $844K | |
| 99204 | 4,889 | 4,431 | $514K | |
| 99213 | 6,998 | 6,024 | $388K | |
| 99203 | 5,714 | 4,950 | $366K | |
| 87426 | 7,406 | 6,252 | $189K | |
| 87804 | 5,000 | 4,530 | $122K | |
| 87880 | 5,875 | 5,440 | $80K | |
| U0002 | Covid-19 lab test non-cdc | 1,254 | 1,142 | $50K |
| 99202 | 523 | 457 | $22K | |
| 99212 | 570 | 483 | $20K | |
| 99215 | Prolong outpt/office vis | 65 | 63 | $7K |
| 99211 | 489 | 452 | $7K | |
| 87807 | 137 | 126 | $2K | |
| 81002 | 340 | 322 | $965.29 | |
| 94640 | 100 | 88 | $705.23 | |
| 71046 | 16 | 16 | $441.99 | |
| 73610 | 13 | 12 | $324.69 | |
| S9088 | Services provided in urgent | 139 | 108 | $180.00 |
| 81025 | 26 | 26 | $177.30 | |
| 86308 | 12 | 12 | $63.64 | |
| 99051 | 76 | 54 | $29.70 | |
| J8540 | Oral dexamethasone | 78 | 68 | $13.24 |
| J7620 | Albuterol ipratrop non-comp | 41 | 38 | $6.45 |
| J2405 | Ondansetron hcl injection | 19 | 19 | $1.57 |
| J7609 | Albuterol comp unit | 28 | 27 | $0.00 |