NPI: 1326587635 · PLYMOUTH, NH 03264 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,137 | $753K |
| 2019 | 6,798 | $893K |
| 2020 | 8,037 | $826K |
| 2021 | 10,370 | $1.10M |
| 2022 | 10,604 | $1.41M |
| 2023 | 4,671 | $826K |
| 2024 | 3,016 | $591K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 8,424 | 7,108 | $2.19M | |
| 99213 | 10,429 | 8,715 | $1.77M | |
| 99392 | 2,743 | 2,395 | $643K | |
| 99393 | 2,537 | 2,274 | $607K | |
| 99391 | 2,685 | 2,144 | $455K | |
| 99394 | 1,301 | 1,148 | $301K | |
| 87426 | 1,206 | 915 | $100K | |
| 90471 | 6,066 | 5,112 | $85K | |
| 92551 | 1,604 | 1,272 | $82K | |
| 90472 | 2,869 | 2,383 | $66K | |
| 99173 | 841 | 652 | $23K | |
| 87880 | 320 | 271 | $17K | |
| 99177 | 950 | 839 | $16K | |
| 90832 | 42 | 12 | $15K | |
| 99383 | 82 | 54 | $14K | |
| 90474 | 471 | 409 | $7K | |
| 87804 | 348 | 167 | $7K | |
| 90791 | 15 | 12 | $2K | |
| 90473 | 64 | 56 | $1K | |
| 81002 | 94 | 72 | $955.26 | |
| 96160 | 39 | 36 | $628.23 | |
| C9803 | Hopd covid-19 spec collect | 309 | 271 | $480.00 |
| 90686 | 1,894 | 1,707 | $359.05 | |
| 90670 | 1,652 | 1,352 | $324.48 | |
| 83655 | 29 | 24 | $324.00 | |
| 36416 | 87 | 82 | $255.12 | |
| 90715 | 41 | 38 | $91.00 | |
| 90672 | 27 | 27 | $25.00 | |
| U0002 | Covid-19 lab test non-cdc | 197 | 172 | $1.19 |
| 90648 | 1,380 | 1,141 | $0.44 | |
| 90680 | 903 | 761 | $0.30 | |
| 90723 | 897 | 752 | $0.19 | |
| 90633 | 850 | 719 | $0.17 | |
| 87811 | 20 | 20 | $0.16 | |
| 90710 | 358 | 248 | $0.16 | |
| 90651 | 313 | 268 | $0.13 | |
| 90685 | 158 | 123 | $0.05 | |
| 90734 | 97 | 70 | $0.04 | |
| 90696 | 72 | 62 | $0.04 | |
| 90677 | 12 | 12 | $0.03 | |
| 90700 | 34 | 26 | $0.00 | |
| 90756 | 41 | 41 | $0.00 | |
| 00000 | 132 | 63 | $0.00 |