NPI: 1184998361 · WILLIAMSPORT, PA 17701 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,567 | $746K |
| 2019 | 29,346 | $2.71M |
| 2020 | 52,087 | $4.48M |
| 2021 | 81,932 | $5.10M |
| 2022 | 52,713 | $3.36M |
| 2023 | 52,669 | $2.54M |
| 2024 | 69,622 | $3.34M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 132,183 | 111,980 | $22.14M |
| 0012A | 765 | 755 | $26K | |
| 0011A | 767 | 762 | $22K | |
| 0064A | 291 | 291 | $10K | |
| 3074F | 20,101 | 18,871 | $8K | |
| G0467 | Fqhc visit, estab pt | 2,414 | 2,073 | $8K |
| 0001A | 216 | 215 | $8K | |
| 99213 | 22,928 | 20,254 | $7K | |
| 3079F | 8,703 | 8,307 | $7K | |
| 0002A | 193 | 193 | $7K | |
| 3078F | 16,419 | 15,502 | $7K | |
| 99214 | 21,550 | 19,858 | $5K | |
| 3077F | 3,208 | 3,032 | $5K | |
| 3075F | 4,147 | 4,005 | $4K | |
| 0071A | 81 | 81 | $3K | |
| 3080F | 2,100 | 2,001 | $2K | |
| 0031A | 53 | 53 | $2K | |
| 0072A | 48 | 48 | $2K | |
| 0004A | 33 | 33 | $1K | |
| 0134A | 29 | 29 | $1K | |
| 99212 | 1,764 | 1,622 | $971.69 | |
| D0120 | 9,252 | 9,131 | $583.20 | |
| D2392 | 2,142 | 1,670 | $540.00 | |
| D1206 | 9,620 | 9,498 | $455.74 | |
| 3044F | 524 | 515 | $420.00 | |
| D1110 | 6,679 | 6,582 | $384.06 | |
| 90688 | 574 | 473 | $280.00 | |
| D0274 | 5,928 | 5,845 | $228.17 | |
| 99177 | 2,692 | 2,533 | $200.45 | |
| D2391 | 1,426 | 1,130 | $150.00 | |
| D7140 | 788 | 567 | $130.00 | |
| D1120 | 6,171 | 6,119 | $109.62 | |
| 99204 | 287 | 279 | $99.41 | |
| D0330 | 3,223 | 3,175 | $74.00 | |
| D2393 | 692 | 596 | $65.00 | |
| 99203 | 234 | 207 | $59.68 | |
| D0140 | 347 | 342 | $55.22 | |
| D2330 | 491 | 359 | $50.00 | |
| D0220 | 3,135 | 3,074 | $46.09 | |
| 99202 | 13 | 13 | $38.86 | |
| 90686 | 1,266 | 1,000 | $37.30 | |
| D9110 | 1,586 | 1,533 | $30.00 | |
| D0150 | 1,808 | 1,780 | $20.00 | |
| 92551 | 1,146 | 1,099 | $14.40 | |
| 98941 | 4,267 | 1,779 | $13.00 | |
| 87210 | 882 | 805 | $5.82 | |
| D0272 | 1,767 | 1,755 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 19,006 | 17,758 | $0.00 |
| 83036 | 1,519 | 1,489 | $0.00 | |
| D2331 | 511 | 408 | $0.00 | |
| D0603 | 699 | 693 | $0.00 | |
| D0230 | 1,582 | 1,137 | $0.00 | |
| D1351 | 7,190 | 1,425 | $0.00 | |
| 1111F | 940 | 906 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 63 | 51 | $0.00 |
| D9995 | 148 | 146 | $0.00 | |
| D0602 | 271 | 267 | $0.00 | |
| Q3014 | Telehealth facility fee | 31 | 29 | $0.00 |
| 90471 | 44 | 44 | $0.00 | |
| 90723 | 24 | 24 | $0.00 | |
| 90696 | 24 | 12 | $0.00 | |
| 96372 | 50 | 50 | $0.00 | |
| D2335 | 87 | 78 | $0.00 | |
| D0703 | 13 | 13 | $0.00 | |
| 98967 | 13 | 13 | $0.00 | |
| G9920 | Scrning perf and negative | 1,701 | 1,663 | $0.00 |
| 98940 | 554 | 391 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 1,760 | 1,686 | $0.00 |
| 99393 | 1,439 | 1,372 | $0.00 | |
| 99391 | 350 | 320 | $0.00 | |
| 95251 | 288 | 265 | $0.00 | |
| D0145 | 309 | 309 | $0.00 | |
| 81025 | 110 | 109 | $0.00 | |
| 99394 | 874 | 819 | $0.00 | |
| D1354 | 861 | 710 | $0.00 | |
| 99392 | 972 | 877 | $0.00 | |
| 99396 | 71 | 71 | $0.00 | |
| 90710 | 24 | 12 | $0.00 | |
| D9230 | 362 | 354 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 44 | 44 | $0.00 |
| 81002 | 12 | 12 | $0.00 | |
| D2930 | 99 | 91 | $0.00 | |
| D2332 | 228 | 185 | $0.00 | |
| D0190 | 924 | 903 | $0.00 | |
| 99395 | 407 | 407 | $0.00 | |
| 90633 | 72 | 57 | $0.00 | |
| D2394 | 45 | 44 | $0.00 | |
| 90670 | 138 | 101 | $0.00 | |
| 90734 | 37 | 25 | $0.00 | |
| D2150 | 49 | 42 | $0.00 | |
| 99173 | 33 | 31 | $0.00 | |
| 99442 | 25 | 14 | $0.00 |