NPI: 1205932472 · CLARKSBURG, WV 26301 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 219 | $3K |
| 2019 | 27 | $674.16 |
| 2021 | 2,094 | $20K |
| 2022 | 121 | $611.29 |
| 2023 | 47 | $514.72 |
| 2024 | 31 | $307.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 589 | 587 | $12K | |
| 0002A | 577 | 575 | $8K | |
| 90471 | 304 | 288 | $4K | |
| 90686 | 58 | 54 | $809.24 | |
| 0003A | 69 | 69 | $520.00 | |
| 0124A | 16 | 15 | $240.00 | |
| 90472 | 16 | 14 | $108.78 | |
| 0012A | 14 | 14 | $28.39 | |
| 0011A | 16 | 15 | $16.94 | |
| 90734 | 21 | 21 | $12.60 | |
| 91300 | 786 | 683 | $1.40 | |
| 91301 | 29 | 28 | $0.00 | |
| G0008 | Admin influenza virus vac | 16 | 16 | $0.00 |
| 91312 | 16 | 15 | $0.00 | |
| 90662 | 12 | 12 | $0.00 |