NPI: 1285220590 · WEST SPRINGFIELD, MA 01089 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,061 | $147K |
| 2022 | 9,373 | $355K |
| 2023 | 23,230 | $1.08M |
| 2024 | 28,794 | $1.42M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 12,609 | 11,373 | $1.04M | |
| 99204 | 8,124 | 8,037 | $942K | |
| 87637 | 2,680 | 2,642 | $375K | |
| 87651 | 5,162 | 5,025 | $157K | |
| 87804 | 8,225 | 4,130 | $114K | |
| 87811 | 3,704 | 3,571 | $108K | |
| 99051 | 8,165 | 7,767 | $61K | |
| 0241U | 399 | 385 | $51K | |
| 87636 | 318 | 312 | $43K | |
| 87635 | 820 | 761 | $38K | |
| 87428 | 392 | 362 | $19K | |
| T1502 | Medication admin visit | 225 | 25 | $15K |
| 99203 | 150 | 147 | $11K | |
| 81025 | 1,418 | 1,386 | $11K | |
| 99213 | 109 | 107 | $6K | |
| 81003 | 2,048 | 2,012 | $4K | |
| S9088 | Services provided in urgent | 6,465 | 5,874 | $985.23 |
| 96372 | 33 | 30 | $436.02 | |
| 94640 | 40 | 40 | $403.04 | |
| 93000 | 31 | 31 | $359.97 | |
| 86308 | 28 | 28 | $127.96 | |
| 99000 | 3,721 | 3,472 | $0.77 | |
| A9150 | Misc/exper non-prescript dru | 552 | 499 | $0.01 |
| G0513 | Prolong prev svcs, first 30m | 20 | 20 | $0.00 |
| G0514 | Prolong prev svcs, addl 30m | 20 | 20 | $0.00 |