Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Guthrie Medical Group, P.C.

Guthrie Medical Group, P.C. was paid $82.19M by Medicaid between Jan 2018 and Dec 2024, across 414 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoGUTHRIE MEDICAL GROUP, P.C.
SAYRE, PA 18840
33aNPI1245246644assigned 07/31/2006
28Total paid$82.19M
24GClaims1,899,181
24DCodes billed414
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Pennsylvania

Rank by total paid#1 of 14
Median peer was paid$98K
This provider vs. median843×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SCOPELLITI, JOSEPH controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018111,699$4.05M
2019151,752$5.39M
2020186,280$6.67M
2021369,564$16.60M
2022385,300$18.84M
2023403,232$18.15M
2024incomplete291,354$12.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33% 274,083 260,775 $27.13M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 282,590 266,078 $19.53M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2.5% 24,484 22,749 $2.04M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.4% 21,128 20,967 $1.94M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.2% 12,366 12,309 $1.81M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.0% 20,007 19,190 $1.67M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.0% 11,862 11,535 $1.67M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 16,404 16,345 $1.54M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 13,474 13,424 $1.30M
0202U Oncology (prostate), multianalyte, gene expression profiling 1.5% 3,805 3,728 $1.24M
88305 Level IV - Surgical pathology, gross and microscopic examination 1.4% 16,057 15,686 $1.11M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 13,232 13,084 $1.09M
402 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.1% 8,491 $882K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 29,371 $656K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 53,554 $630K
84443 Thyroid stimulating hormone (TSH) <1% 35,525 $615K
99215 Doctor's office visit, returning patient (complex) <1% 4,333 $612K
77067 Screening mammography, bilateral, including computer-aided detection <1% 10,368 $602K
80053 Comprehensive metabolic panel <1% 54,835 $585K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 16,852 $529K
80061 Lipid panel <1% 29,656 $398K
90472 Immunization administration, each additional vaccine (list separately) <1% 21,227 $365K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 4,485 $365K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 15,900 $346K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 9,818 $324K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 9,806 $324K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 6,888 $313K
77063 Screening digital breast tomosynthesis, bilateral <1% 8,825 $287K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 38,644 $283K
71046 Radiologic examination, chest; 2 views <1% 20,182 $273K
90847 Family psychotherapy with the patient present, 50 minutes <1% 2,990 $266K
70450 Computed tomography, head or brain; without contrast material <1% 6,489 $247K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 18,578 $237K
83036 Hemoglobin; glycosylated (A1C) <1% 25,786 $232K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 29,644 $225K
96127 <1% 45,909 $222K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,205 $217K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,644 $188K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 9,162 $185K
67028 Intravitreal injection of a pharmacologic agent <1% 1,686 $181K
87631 <1% 1,395 $180K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,683 $169K
0352U <1% 1,691 $168K
82607 <1% 11,361 $163K
80050 General health panel <1% 2,595 $162K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 7,154 $158K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 4,954 $149K
71045 Radiologic examination, chest; single view <1% 18,687 $148K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 3,183 $147K
99223 Prolong inpt eval add15 m <1% 1,018 $144K
76830 Ultrasound, transvaginal <1% 2,654 $142K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 3,040 $141K
92551 <1% 13,242 $141K
20610 <1% 2,995 $138K
87086 Culture, bacterial; quantitative colony count, urine <1% 16,555 $136K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,624 $133K
87660 <1% 6,199 $131K
84439 <1% 14,953 $131K
82746 <1% 9,394 $130K
87081 <1% 19,590 $129K
93000 <1% 8,324 $129K
V2020 Frames, purchases <1% 10,846 $128K
90686 <1% 19,372 $128K
85027 <1% 18,857 $126K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,508 $126K
87480 <1% 5,789 $124K
73564 <1% 4,034 $123K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,851 $118K
92134 <1% 3,331 $116K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,179 $116K
83970 <1% 2,602 $107K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,369 $106K
82728 <1% 7,361 $96K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,077 $94K
87510 <1% 4,909 $93K
95886 <1% 1,005 $90K
87507 <1% 236 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,436 $86K
99232 Hospital visit by a doctor, follow-up day <1% 1,754 $81K
73610 <1% 4,243 $81K
73630 <1% 4,355 $81K
99205 Prolong outpt/office vis <1% 431 $78K
76642 <1% 1,960 $75K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,528 $75K
80048 Basic metabolic panel (calcium, ionized) <1% 8,394 $74K
76536 <1% 1,309 $67K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 1,109 $66K
93971 <1% 882 $65K
73110 <1% 2,946 $64K
92567 <1% 4,670 $64K
92557 <1% 1,995 $63K
73030 <1% 2,967 $62K
86803 <1% 3,837 $61K
0001A <1% 1,457 $58K
0002A <1% 1,361 $58K
73221 <1% 650 $58K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 347 $54K
72110 <1% 1,663 $52K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,315 $49K
92002 <1% 1,242 $49K
83721 <1% 4,717 $48K
73130 <1% 2,373 $48K
83540 <1% 6,934 $47K
83550 <1% 5,860 $46K
99239 Hospital discharge day management, more than 30 minutes <1% 537 $44K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,763 $44K
86762 <1% 2,728 $43K
87186 <1% 4,926 $43K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 181 $43K
88307 <1% 541 $42K
90474 <1% 3,651 $42K
83880 <1% 1,087 $41K
82043 <1% 6,271 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 776 $40K
82570 <1% 6,832 $40K
76801 <1% 540 $40K
90715 <1% 3,001 $40K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 918 $39K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 392 $38K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 746 $38K
94060 <1% 1,275 $36K
93975 <1% 435 $35K
84481 <1% 1,843 $35K
76819 Fetal biophysical profile; without non-stress testing <1% 775 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 368 $34K
99222 Initial hospital care, per day, moderate complexity <1% 299 $34K
93923 <1% 377 $33K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,772 $33K
84480 <1% 2,497 $32K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 71 $32K
97597 <1% 913 $32K
73502 <1% 1,253 $31K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 869 $30K
94729 <1% 919 $29K
71271 <1% 493 $29K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 990 $29K
99460 <1% 485 $28K
83001 <1% 1,513 $28K
87340 <1% 2,386 $27K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 703 $26K
81003 <1% 10,728 $26K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,521 $25K
88304 <1% 1,618 $25K
0012A <1% 635 $25K
84146 <1% 1,167 $25K
86140 <1% 5,226 $25K
88342 <1% 600 $24K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 1,183 $24K
86703 <1% 1,770 $24K
85651 <1% 6,085 $24K
83525 <1% 2,085 $24K
83735 <1% 3,266 $22K
90670 <1% 11,124 $22K
64615 <1% 167 $22K
99238 Hospital discharge day management, 30 minutes or less <1% 414 $22K
84702 <1% 1,371 $22K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,655 $22K
86850 <1% 2,176 $21K
36415 Collection of venous blood by venipuncture <1% 76,246 $21K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 347 $20K
87506 <1% 88 $20K
98940 <1% 1,908 $19K
73562 <1% 694 $19K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 877 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,133 $19K
85610 <1% 4,530 $18K
80074 <1% 330 $17K
83655 <1% 1,522 $17K
00142 <1% 215 $17K
86618 <1% 966 $17K
0011A <1% 505 $17K
84134 <1% 1,088 $17K
83002 <1% 934 $17K
72125 Computed tomography, cervical spine; without contrast material <1% 327 $16K
84153 <1% 816 $16K
84403 <1% 613 $16K
93970 <1% 178 $16K
95117 <1% 1,410 $15K
77065 Tomosynthesis, mammo <1% 343 $15K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,056 $15K
87070 <1% 1,652 $14K
70551 Magnetic resonance imaging, brain; without contrast material <1% 108 $14K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,092 $13K
90656 <1% 1,359 $13K
74018 <1% 828 $13K
82784 <1% 451 $13K
86431 <1% 2,063 $13K
83690 <1% 1,958 $13K
90698 <1% 7,579 $13K
84703 <1% 1,564 $13K
0071A <1% 319 $13K
93296 <1% 782 $13K
94727 <1% 390 $13K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 125 $13K
99152 <1% 801 $12K
85018 <1% 3,852 $12K
82670 <1% 481 $12K
96158 <1% 209 $12K
00731 <1% 98 $12K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,328 $11K
0072A <1% 273 $11K
90680 <1% 7,170 $11K
88112 <1% 186 $11K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 21,923 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 121 $10K
0004A <1% 247 $10K
93298 <1% 271 $10K
90651 <1% 1,750 $10K
72050 <1% 265 $9K
97161 <1% 117 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 80 $9K
82950 <1% 1,376 $9K
80076 <1% 983 $9K
81001 <1% 2,766 $9K
90633 <1% 4,835 $8K
71250 <1% 162 $8K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 39 $8K
86900 <1% 2,229 $8K
86901 <1% 2,209 $8K
95816 <1% 245 $8K
87205 <1% 1,680 $8K
81025 <1% 1,116 $8K
86706 <1% 656 $8K
90744 <1% 3,109 $7K
74183 <1% 60 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 25 $7K
90838 <1% 62 $7K
88341 <1% 51 $7K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 64 $7K
77080 <1% 487 $7K
73140 <1% 340 $7K
69210 <1% 215 $7K
90732 <1% 69 $7K
84144 <1% 349 $7K
76770 <1% 127 $6K
95913 <1% 25 $6K
94726 <1% 307 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 93 $6K
84550 <1% 1,141 $6K
96156 <1% 75 $6K
82550 <1% 856 $6K
00170 Anesthesia for intraoral procedures, including biopsy <1% 31 $6K
80069 <1% 628 $6K
S0620 Routine ophthalmological examination including refraction; new patient <1% 142 $6K
73080 <1% 294 $6K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 53 $5K
87077 <1% 648 $5K
90734 <1% 3,034 $5K
3074F <1% 9,040 $5K
78815 Positron emission tomography (PET) for limited area imaging <1% 49 $5K
0031A <1% 112 $5K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 165 $5K
90832 Psychotherapy session, about 30 minutes <1% 68 $5K
77066 Tomosynthesis, mammo <1% 85 $5K
82150 <1% 712 $5K
J9035 Injection, bevacizumab, 10 mg <1% 56 $4K
92015 Determination of refractive state <1% 1,715 $4K
80055 <1% 103 $4K
82248 <1% 703 $4K
31575 <1% 43 $4K
00126 <1% 38 $4K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 633 $4K
86308 <1% 622 $4K
90707 <1% 791 $4K
3078F <1% 7,198 $4K
99459 <1% 180 $4K
93294 <1% 254 $4K
59025 Fetal non-stress test <1% 114 $4K
90716 <1% 863 $4K
11102 <1% 53 $4K
81002 <1% 1,168 $4K
0064A <1% 81 $3K
90710 <1% 1,292 $3K
90677 <1% 242 $3K
87427 <1% 272 $3K
82274 <1% 292 $3K
76981 <1% 140 $3K
90473 <1% 268 $3K
00811 <1% 28 $3K
78264 <1% 83 $3K
99385 <1% 24 $3K
87329 <1% 232 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 15 $3K
87147 <1% 595 $3K
90750 <1% 25 $3K
90696 <1% 1,108 $3K
87046 <1% 271 $3K
87045 <1% 271 $3K
51798 <1% 206 $2K
87328 <1% 195 $2K
97803 <1% 282 $2K
73590 <1% 158 $2K
95251 <1% 65 $2K
95910 <1% 25 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $2K
31231 <1% 13 $2K
90688 <1% 164 $2K
93295 <1% 71 $2K
95909 <1% 26 $2K
3079F <1% 2,125 $2K
86376 <1% 153 $2K
86160 <1% 147 $2K
99490 Ccm add 20min <1% 384 $2K
90785 <1% 150 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 27 $2K
99462 <1% 67 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 89 $2K
82533 <1% 115 $2K
D0150 Comprehensive oral evaluation - new or established patient <1% 70 $2K
0124A <1% 42 $2K
92552 <1% 91 $2K
84156 <1% 430 $2K
73523 <1% 43 $2K
84100 <1% 284 $2K
96160 <1% 484 $2K
83615 <1% 236 $2K
82105 <1% 93 $2K
00813 <1% 13 $2K
90648 <1% 3,560 $1K
87075 <1% 136 $1K
76870 <1% 38 $1K
43237 <1% 12 $1K
73560 <1% 73 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 44 $1K
0054A <1% 29 $1K
S0621 Routine ophthalmological examination including refraction; established patient <1% 33 $1K
43235 <1% 12 $1K
96152 <1% 31 $1K
92556 <1% 51 $1K
92136 <1% 39 $1K
93016 <1% 68 $1K
85652 <1% 422 $1K
87493 <1% 24 $1K
97162 <1% 12 $997.34
93225 <1% 61 $977.10
70498 <1% 12 $972.87
92083 <1% 24 $966.92
93018 <1% 81 $892.57
86704 <1% 90 $866.70
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 26 $851.68
86800 <1% 46 $758.22
58300 <1% 12 $749.97
70486 <1% 13 $748.75
85705 <1% 79 $723.69
98928 <1% 13 $709.05
81015 <1% 237 $685.63
90723 <1% 2,248 $674.50
92558 <1% 232 $671.60
85045 <1% 163 $661.73
3075F <1% 703 $615.00
93280 <1% 13 $598.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 681 $552.50
86592 <1% 166 $545.91
92250 <1% 12 $538.90
83718 <1% 75 $536.83
97802 <1% 14 $531.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 32 $510.24
78227 <1% 12 $506.42
95800 <1% 13 $492.57
90671 <1% 36 $491.91
85014 <1% 178 $490.56
86769 <1% 12 $455.04
20550 <1% 13 $454.30
G0444 Annual depression screening, 5 to 15 minutes <1% 28 $441.00
99310 Prolong nursin fac eval 15m <1% 51 $431.82
77062 <1% 13 $424.32
93226 <1% 12 $399.00
11721 <1% 12 $343.05
90697 <1% 26 $340.00
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) <1% 14 $320.15
92133 <1% 15 $314.88
93227 <1% 24 $311.22
J1010 Injection, methylprednisolone acetate, 1 mg <1% 106 $309.76
85378 <1% 28 $291.71
94010 <1% 39 $288.79
90620 <1% 28 $247.42
73000 <1% 13 $243.99
85730 <1% 38 $235.75
90700 <1% 264 $218.50
80164 <1% 13 $214.79
85007 <1% 57 $213.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 16 $200.22
73090 <1% 14 $187.70
88720 <1% 25 $182.09
90672 <1% 397 $169.66
82951 <1% 12 $168.25
99318 <1% 25 $168.08
82565 <1% 26 $157.07
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $146.94
88302 <1% 13 $133.15
88311 <1% 12 $118.92
94760 <1% 870 $91.95
90685 <1% 248 $86.63
93325 <1% 13 $78.84
84460 <1% 14 $75.36
3044F <1% 598 $70.00
82947 <1% 14 $69.34
84450 <1% 14 $69.14
99484 <1% 82 $68.19
82952 <1% 12 $47.47
96161 <1% 14 $36.92
91301 <1% 1,102 $26.46
91300 0% 3,483 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 320 $0.00
3051F 0% 28 $0.00
91322 0% 13 $0.00
2022F 0% 16 $0.00
3046F 0% 21 $0.00
91307 0% 682 $0.00
91306 0% 70 $0.00
91303 0% 108 $0.00
91305 0% 150 $0.00
2023F 0% 12 $0.00
J0178 Injection, aflibercept, 1 mg 0% 53 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSCOPELLITI, JOSEPH (PRESIDENT)
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