NPI: 1235246166 · SPRINGFIELD, MA 01118 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,103 | $422K |
| 2019 | 15,462 | $474K |
| 2020 | 15,941 | $441K |
| 2021 | 12,528 | $331K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 10,074 | 9,229 | $604K | |
| 99214 | 2,403 | 2,337 | $208K | |
| 99393 | 1,666 | 1,663 | $152K | |
| 90460 | 4,774 | 4,761 | $123K | |
| 99392 | 1,265 | 1,265 | $116K | |
| 99394 | 1,107 | 1,105 | $110K | |
| 99391 | 1,142 | 1,122 | $98K | |
| S0302 | Completed epsdt | 7,124 | 7,084 | $67K |
| 96110 | 5,829 | 5,820 | $61K | |
| 99212 | 762 | 749 | $29K | |
| 99173 | 1,307 | 1,304 | $28K | |
| 90461 | 1,938 | 1,936 | $17K | |
| 90471 | 683 | 682 | $12K | |
| 94760 | 3,574 | 3,359 | $9K | |
| 87880 | 604 | 594 | $7K | |
| 92583 | 149 | 148 | $7K | |
| 85018 | 1,993 | 1,990 | $5K | |
| 99395 | 39 | 39 | $4K | |
| 87804 | 322 | 319 | $4K | |
| 99051 | 214 | 212 | $4K | |
| 92551 | 261 | 260 | $2K | |
| 81002 | 508 | 484 | $1K | |
| 99050 | 47 | 46 | $678.96 | |
| 99000 | 3,708 | 3,651 | $391.00 | |
| 84703 | 42 | 40 | $292.83 | |
| 90686 | 1,735 | 1,735 | $279.91 | |
| 90473 | 14 | 14 | $247.80 | |
| 36416 | 1,404 | 1,401 | $24.00 | |
| J7613 | Albuterol non-comp unit | 13 | 13 | $0.27 |
| 90620 | 187 | 187 | $0.27 | |
| 90651 | 341 | 341 | $0.00 | |
| 90723 | 48 | 48 | $0.00 | |
| 90680 | 194 | 194 | $0.00 | |
| 90698 | 69 | 69 | $0.00 | |
| 90696 | 29 | 29 | $0.00 | |
| 90716 | 12 | 12 | $0.00 | |
| 90670 | 569 | 569 | $0.00 | |
| 90734 | 276 | 276 | $0.00 | |
| 90633 | 521 | 520 | $0.00 | |
| 90710 | 37 | 37 | $0.00 | |
| 90648 | 37 | 37 | $0.00 | |
| 90707 | 13 | 13 | $0.00 |