NPI: 1235149865 · PROVIDENCE, RI 02905 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,972 | $142K |
| 2021 | 3,683 | $211K |
| 2022 | 3,382 | $192K |
| 2023 | 3,614 | $249K |
| 2024 | 3,227 | $183K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | 5,115 | 4,660 | $159K | |
| 87491 | 842 | 821 | $123K | |
| 87591 | 827 | 804 | $89K | |
| 87389 | 848 | 825 | $65K | |
| G0463 | Hospital outpt clinic visit | 359 | 306 | $50K |
| 76816 | 474 | 437 | $50K | |
| 76815 | 213 | 200 | $46K | |
| 85025 | 1,189 | 1,146 | $43K | |
| 86780 | 850 | 826 | $42K | |
| 76801 | 231 | 225 | $31K | |
| 86803 | 267 | 259 | $25K | |
| 86481 | 136 | 132 | $23K | |
| 96372 | 334 | 315 | $23K | |
| 86850 | 445 | 438 | $23K | |
| 76805 | 88 | 88 | $21K | |
| 88175 | 287 | 279 | $21K | |
| 87340 | 316 | 310 | $20K | |
| 76817 | 132 | 126 | $16K | |
| 86762 | 171 | 166 | $15K | |
| 86901 | 434 | 426 | $15K | |
| 86900 | 434 | 426 | $15K | |
| 82728 | 149 | 145 | $14K | |
| 90471 | 271 | 268 | $10K | |
| 87086 | 139 | 135 | $6K | |
| 86787 | 64 | 61 | $6K | |
| 87624 | 61 | 59 | $6K | |
| 81025 | 121 | 119 | $5K | |
| 81001 | 121 | 120 | $4K | |
| 76830 | 12 | 12 | $4K | |
| 36415 | 59 | 56 | $2K | |
| 87150 | 13 | 12 | $1K | |
| 83036 | 24 | 24 | $1K | |
| 82950 | 43 | 43 | $1K | |
| 99213 | 14 | 12 | $693.05 | |
| 87088 | 14 | 13 | $437.64 | |
| 87210 | 14 | 14 | $239.96 | |
| J1050 | Medroxyprogesterone acetate | 14 | 14 | $147.00 |
| 3078F | 642 | 558 | $6.40 | |
| 1036F | 82 | 80 | $0.82 | |
| 3074F | 29 | 25 | $0.29 |