NPI: 1235570417 · WELLSBORO, PA 16901 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,266 | $23K |
| 2019 | 5,515 | $611K |
| 2020 | 8,840 | $896K |
| 2021 | 15,166 | $1.33M |
| 2022 | 9,660 | $848K |
| 2023 | 7,889 | $673K |
| 2024 | 10,555 | $910K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 33,464 | 29,130 | $5.27M |
| 99213 | 5,807 | 5,451 | $8K | |
| 99214 | 3,681 | 3,438 | $2K | |
| 87880 | 545 | 523 | $542.49 | |
| 99215 | Prolong outpt/office vis | 626 | 598 | $378.70 |
| 36415 | 367 | 363 | $374.81 | |
| 3078F | 102 | 96 | $290.00 | |
| 3074F | 66 | 62 | $205.00 | |
| 4010F | 111 | 104 | $170.00 | |
| 90460 | 197 | 196 | $102.85 | |
| 3044F | 16 | 13 | $30.00 | |
| 99212 | 45 | 45 | $23.40 | |
| G2012 | Brief check in by md/qhp | 1,266 | 1,218 | $15.17 |
| D2392 | 518 | 403 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 754 | 744 | $0.00 |
| 97140 | 46 | 27 | $0.00 | |
| D1206 | 1,281 | 1,278 | $0.00 | |
| D0120 | 1,383 | 1,376 | $0.00 | |
| D0272 | 402 | 401 | $0.00 | |
| D5899 | 354 | 272 | $0.00 | |
| D0230 | 197 | 197 | $0.00 | |
| 3048F | 18 | 17 | $0.00 | |
| D1330 | 20 | 20 | $0.00 | |
| 99309 | 77 | 74 | $0.00 | |
| 90471 | 46 | 46 | $0.00 | |
| 0012A | 14 | 14 | $0.00 | |
| 83036 | 119 | 118 | $0.00 | |
| 99308 | 48 | 42 | $0.00 | |
| D0150 | 428 | 425 | $0.00 | |
| D2331 | 16 | 12 | $0.00 | |
| 3061F | 58 | 54 | $0.00 | |
| D1351 | 60 | 15 | $0.00 | |
| D0140 | 19 | 19 | $0.00 | |
| D7140 | 14 | 12 | $0.00 | |
| D0220 | 700 | 693 | $0.00 | |
| D2391 | 328 | 259 | $0.00 | |
| D1120 | 875 | 872 | $0.00 | |
| D1110 | 1,845 | 1,839 | $0.00 | |
| 81002 | 53 | 52 | $0.00 | |
| 99442 | 40 | 38 | $0.00 | |
| D0274 | 1,035 | 1,030 | $0.00 | |
| 98940 | 1,507 | 714 | $0.00 | |
| G0444 | Depression screen annual | 71 | 69 | $0.00 |
| D0330 | 232 | 230 | $0.00 | |
| 90461 | 28 | 28 | $0.00 | |
| D9110 | 12 | 12 | $0.00 |