NPI: 1275985814 · PHILADELPHIA, PA 19133 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 407 | $39K |
| 2020 | 14,187 | $742K |
| 2021 | 48,036 | $3.33M |
| 2022 | 62,405 | $3.61M |
| 2023 | 48,123 | $3.49M |
| 2024 | 42,514 | $2.97M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 54,451 | 50,905 | $9.35M |
| S9083 | Urgent care center global | 38,116 | 30,562 | $4.36M |
| 99213 | 34,590 | 31,902 | $176K | |
| 99203 | 10,768 | 10,444 | $106K | |
| 99214 | 9,944 | 9,361 | $72K | |
| 87635 | 1,018 | 1,005 | $38K | |
| 99204 | 1,798 | 1,742 | $34K | |
| 99211 | 8,024 | 7,372 | $18K | |
| 99212 | 3,318 | 3,095 | $8K | |
| 99202 | 2,780 | 2,711 | $7K | |
| 87811 | 5,425 | 4,913 | $5K | |
| 0001A | 436 | 377 | $3K | |
| 0011A | 179 | 150 | $1K | |
| 0002A | 267 | 233 | $880.00 | |
| 0031A | 95 | 83 | $640.00 | |
| 99443 | 742 | 727 | $636.70 | |
| 90460 | 1,009 | 951 | $519.00 | |
| 87426 | 490 | 466 | $314.46 | |
| 81025 | 10,604 | 10,130 | $309.56 | |
| 0071A | 107 | 96 | $280.00 | |
| 96127 | 4,144 | 3,800 | $256.98 | |
| 0012A | 118 | 100 | $240.00 | |
| 86580 | 5,465 | 4,966 | $183.79 | |
| 99384 | 169 | 168 | $81.00 | |
| 36415 | 1,338 | 1,305 | $66.62 | |
| 81002 | 1,607 | 1,541 | $42.81 | |
| 0064A | 14 | 12 | $40.00 | |
| 0052A | 26 | 23 | $40.00 | |
| 0072A | 34 | 33 | $40.00 | |
| 99499 | 174 | 154 | $40.00 | |
| 0004A | 30 | 27 | $40.00 | |
| 87491 | 1,328 | 1,309 | $38.80 | |
| 3725F | 2,110 | 1,990 | $30.00 | |
| 81003 | 1,855 | 1,781 | $25.29 | |
| 90716 | 68 | 59 | $20.00 | |
| 90715 | 218 | 213 | $10.00 | |
| 87880 | 365 | 356 | $6.30 | |
| 99401 | 364 | 318 | $1.08 | |
| 99201 | 120 | 108 | $0.07 | |
| 96372 | 491 | 466 | $0.03 | |
| 99385 | 93 | 83 | $0.02 | |
| 91305 | 96 | 87 | $0.00 | |
| 99070 | 92 | 91 | $0.00 | |
| 87591 | 1,327 | 1,308 | $0.00 | |
| 3351F | 1,850 | 1,748 | $0.00 | |
| 91301 | 225 | 181 | $0.00 | |
| 87801 | 381 | 371 | $0.00 | |
| 83036 | 49 | 49 | $0.00 | |
| 87661 | 1,288 | 1,248 | $0.00 | |
| 59430 | 54 | 48 | $0.00 | |
| 91303 | 48 | 44 | $0.00 | |
| 87389 | 400 | 386 | $0.00 | |
| 86592 | 320 | 314 | $0.00 | |
| 87088 | 12 | 12 | $0.00 | |
| 82607 | 13 | 13 | $0.00 | |
| 99000 | 384 | 344 | $0.00 | |
| 80051 | 24 | 24 | $0.00 | |
| 99429 | 49 | 43 | $0.00 | |
| 82746 | 13 | 13 | $0.00 | |
| 84443 | 29 | 29 | $0.00 | |
| 81000 | 12 | 12 | $0.00 | |
| 85025 | 53 | 53 | $0.00 | |
| 91307 | 74 | 62 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 25 | 24 | $0.00 |
| 0051A | 17 | 17 | $0.00 | |
| 87086 | 29 | 29 | $0.00 | |
| 87490 | 14 | 14 | $0.00 | |
| 87590 | 14 | 14 | $0.00 | |
| 90471 | 20 | 15 | $0.00 | |
| 91300 | 499 | 425 | $0.00 | |
| 99173 | 1,366 | 1,313 | $0.00 | |
| 87799 | 86 | 84 | $0.00 | |
| 80061 | 45 | 45 | $0.00 | |
| U0003 | Cov-19 amp prb hgh thruput | 727 | 602 | $0.00 |
| 87481 | 163 | 160 | $0.00 | |
| 90713 | 34 | 31 | $0.00 | |
| 87798 | 412 | 408 | $0.00 | |
| 99395 | 78 | 77 | $0.00 | |
| 82565 | 24 | 24 | $0.00 | |
| 87512 | 98 | 96 | $0.00 | |
| 90461 | 540 | 416 | $0.00 | |
| 99394 | 29 | 29 | $0.00 | |
| 99442 | 52 | 51 | $0.00 | |
| G9357 | Pp eval/edu perf | 49 | 43 | $0.00 |
| 90707 | 13 | 12 | $0.00 | |
| 82947 | 24 | 24 | $0.00 | |
| 84520 | 24 | 24 | $0.00 | |
| 90734 | 150 | 144 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 13 | 13 | $0.00 |
| 87804 | 42 | 21 | $0.00 |