NPI: 1346296522 · SPRINGFIELD, MA 01103 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,778 | $269K |
| 2019 | 5,886 | $315K |
| 2020 | 2,718 | $178K |
| 2021 | 2,966 | $158K |
| 2022 | 4,558 | $278K |
| 2023 | 1,091 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,196 | 3,950 | $723K |
| 99394 | 670 | 670 | $121K | |
| 99393 | 647 | 647 | $116K | |
| 90460 | 2,630 | 2,600 | $99K | |
| 99392 | 267 | 266 | $45K | |
| 99173 | 1,968 | 1,968 | $45K | |
| 96110 | 2,924 | 2,913 | $30K | |
| S0302 | Completed epsdt | 2,989 | 2,978 | $27K |
| 92551 | 1,945 | 1,945 | $19K | |
| 99188 | 726 | 726 | $19K | |
| 87502 | 57 | 57 | $5K | |
| 87635 | 89 | 89 | $5K | |
| 99391 | 25 | 24 | $5K | |
| 96127 | 221 | 219 | $2K | |
| 87880 | 173 | 172 | $2K | |
| 90651 | 193 | 193 | $2K | |
| 90686 | 1,365 | 1,364 | $1K | |
| 85018 | 460 | 460 | $1K | |
| 87634 | 13 | 13 | $804.96 | |
| 0124A | 16 | 16 | $733.92 | |
| 97803 | 16 | 14 | $407.52 | |
| 87804 | 24 | 24 | $293.52 | |
| 90649 | 30 | 29 | $137.59 | |
| 90633 | 134 | 134 | $47.88 | |
| 81002 | 18 | 18 | $47.52 | |
| 91307 | 26 | 26 | $0.00 | |
| 90620 | 12 | 12 | $0.00 | |
| 91305 | 17 | 17 | $0.00 | |
| 91312 | 30 | 30 | $0.00 | |
| 90734 | 80 | 80 | $0.00 | |
| 90715 | 24 | 24 | $0.00 | |
| 90670 | 12 | 12 | $0.00 |