NPI: 1255817748 · SPRINGFIELD, MA 01103 · 363AM0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 117 | $9K |
| 2019 | 1,772 | $198K |
| 2020 | 1,482 | $187K |
| 2021 | 1,531 | $185K |
| 2022 | 1,228 | $200K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,953 | 3,773 | $683K |
| 99395 | 303 | 302 | $55K | |
| 99396 | 243 | 242 | $18K | |
| S0302 | Completed epsdt | 1,036 | 1,033 | $9K |
| 90471 | 227 | 227 | $5K | |
| 90686 | 183 | 183 | $3K | |
| 90732 | 26 | 26 | $3K | |
| 90715 | 68 | 68 | $2K | |
| 87880 | 18 | 18 | $219.78 | |
| 87804 | 15 | 15 | $183.45 | |
| 81002 | 43 | 41 | $112.61 | |
| 82947 | 15 | 15 | $60.75 |