NPI: 1255950168 · DAYTONA BEACH, FL 32114 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $450.20 |
| 2022 | 84 | $2K |
| 2023 | 226 | $10K |
| 2024 | 1,158 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 602 | 386 | $16K |
| 99214 | 427 | 395 | $15K | |
| 99213 | 157 | 137 | $5K | |
| 99204 | 38 | 37 | $3K | |
| H0032 | Mh svc plan dev by non-md | 35 | 34 | $2K |
| H0048 | Spec coll non-blood:a/d test | 85 | 69 | $655.85 |
| 99406 | 96 | 87 | $545.15 | |
| H0031 | Mh health assess by non-md | 22 | 22 | $358.00 |
| G0467 | Fqhc visit, estab pt | 20 | 17 | $0.00 |