NPI: 1174551410 · LONG ISLAND CITY, NY 11102 · 207XS0106X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $1K |
| 2021 | 85 | $3K |
| 2022 | 29 | $1K |
| 2024 | 14 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | 24 | 24 | $3K | |
| 99244 | 12 | 12 | $1K | |
| 99214 | 14 | 14 | $1K | |
| 99213 | 26 | 26 | $1K | |
| 73110 | 16 | 13 | $463.95 | |
| J3301 | Triamcinolone acet inj nos | 12 | 12 | $19.68 |
| A4208 | 3 cc sterile syringe&needle | 12 | 12 | $0.00 |
| A6413 | Adhesive bandage, first-aid | 12 | 12 | $0.00 |
| A6402 | Sterile gauze <= 16 sq in | 12 | 12 | $0.00 |