NPI: 1366582090 · SALEM, MA 01970 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 74,313 | $3.57M |
| 2019 | 77,837 | $4.17M |
| 2020 | 59,974 | $5.32M |
| 2021 | 65,120 | $5.64M |
| 2022 | 65,636 | $7.81M |
| 2023 | 58,637 | $3.32M |
| 2024 | 56,544 | $2.41M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 147,705 | 94,640 | $22.33M |
| D9450 | 75,557 | 44,078 | $2.03M | |
| T1040 | Comm bh clinic svc per diem | 9,216 | 3,945 | $1.25M |
| G0470 | Fqhc visit, mh estab pt | 3,473 | 2,468 | $504K |
| D1110 | 22,266 | 15,570 | $480K | |
| 90834 | 5,571 | 3,038 | $472K | |
| 99395 | 2,872 | 2,859 | $465K | |
| G0467 | Fqhc visit, estab pt | 11,267 | 9,625 | $455K |
| 90832 | 8,958 | 5,314 | $366K | |
| D7140 | 6,390 | 2,326 | $279K | |
| D0210 | 9,860 | 7,115 | $272K | |
| D9110 | 11,713 | 6,049 | $253K | |
| 99050 | 3,031 | 2,801 | $156K | |
| D2391 | 6,667 | 3,494 | $152K | |
| 99394 | 907 | 894 | $137K | |
| D0120 | 12,076 | 8,616 | $126K | |
| D0150 | 6,836 | 4,996 | $111K | |
| D0274 | 6,828 | 4,871 | $109K | |
| D0220 | 12,917 | 7,256 | $109K | |
| D2392 | 3,709 | 2,427 | $101K | |
| 99393 | 581 | 572 | $87K | |
| 90791 | 569 | 561 | $82K | |
| 90651 | 1,182 | 1,177 | $81K | |
| G2025 | Dis site tele svcs rhc/fqhc | 4,957 | 3,121 | $81K |
| 90882 | 1,901 | 1,165 | $78K | |
| D0140 | 3,372 | 1,841 | $74K | |
| 99396 | 926 | 919 | $71K | |
| 90837 | 634 | 361 | $69K | |
| 99213 | 7,249 | 6,248 | $68K | |
| D2330 | 2,355 | 1,091 | $68K | |
| D2335 | 1,150 | 639 | $66K | |
| D2331 | 1,844 | 979 | $62K | |
| G0469 | Fqhc visit, mh new pt | 325 | 325 | $57K |
| 90471 | 8,359 | 8,176 | $56K | |
| 90715 | 2,088 | 2,071 | $54K | |
| D1120 | 1,025 | 996 | $51K | |
| D2150 | 1,681 | 1,005 | $50K | |
| D0180 | 3,571 | 2,870 | $49K | |
| 99211 | 2,360 | 1,633 | $49K | |
| 90686 | 3,750 | 3,737 | $45K | |
| D1206 | 1,680 | 1,626 | $42K | |
| 99442 | 1,309 | 1,042 | $38K | |
| 90460 | 1,892 | 1,850 | $38K | |
| 90677 | 145 | 145 | $38K | |
| D5212 | 178 | 105 | $37K | |
| 90682 | 620 | 618 | $36K | |
| D2740 | 125 | 83 | $35K | |
| 90887 | 943 | 649 | $35K | |
| 90746 | 504 | 501 | $34K | |
| 91322 | 197 | 197 | $28K | |
| D4341 | 1,199 | 429 | $27K | |
| D4342 | 710 | 379 | $26K | |
| D2332 | 543 | 297 | $22K | |
| D0330 | 493 | 324 | $22K | |
| D2140 | 932 | 483 | $22K | |
| G2023 | Specimen collect covid-19 | 930 | 806 | $22K |
| D5211 | 96 | 67 | $21K | |
| 99214 | 4,126 | 3,734 | $21K | |
| D2393 | 621 | 443 | $18K | |
| D0230 | 2,709 | 1,146 | $17K | |
| D7210 | 187 | 98 | $15K | |
| 81025 | 1,963 | 1,855 | $13K | |
| 90480 | 256 | 256 | $12K | |
| D3320 | 43 | 41 | $11K | |
| 90472 | 1,833 | 1,807 | $11K | |
| 83036 | 1,349 | 1,336 | $10K | |
| 87880 | 752 | 733 | $10K | |
| 0124A | 208 | 206 | $9K | |
| 90636 | 67 | 67 | $8K | |
| 87635 | 150 | 148 | $8K | |
| 96372 | 726 | 681 | $7K | |
| 93000 | 484 | 482 | $6K | |
| D2751 | 14 | 13 | $6K | |
| 90632 | 87 | 86 | $6K | |
| D2160 | 213 | 101 | $6K | |
| 99443 | 136 | 105 | $6K | |
| 90688 | 317 | 315 | $4K | |
| 99173 | 193 | 192 | $4K | |
| 90673 | 48 | 48 | $4K | |
| J1050 | Medroxyprogesterone acetate | 168 | 167 | $4K |
| 99392 | 26 | 26 | $4K | |
| 0011A | 89 | 88 | $4K | |
| 96110 | 363 | 358 | $3K | |
| 81000 | 1,082 | 1,033 | $3K | |
| 91320 | 23 | 23 | $3K | |
| 99385 | 12 | 12 | $3K | |
| D2954 | 38 | 26 | $3K | |
| 90670 | 38 | 38 | $3K | |
| 0012A | 52 | 52 | $2K | |
| 90662 | 85 | 79 | $2K | |
| 90716 | 58 | 58 | $2K | |
| 99384 | 14 | 13 | $2K | |
| 90658 | 247 | 242 | $2K | |
| 0064A | 45 | 45 | $2K | |
| 81003 | 954 | 915 | $2K | |
| D7311 | 43 | 25 | $2K | |
| 90732 | 14 | 14 | $1K | |
| 99215 | Prolong outpt/office vis | 13 | 13 | $1K |
| 90707 | 41 | 41 | $1K | |
| 99212 | 104 | 73 | $1K | |
| 90461 | 443 | 435 | $1K | |
| 99441 | 49 | 46 | $1K | |
| 99203 | 13 | 13 | $900.46 | |
| 98967 | 54 | 50 | $874.43 | |
| 86580 | 132 | 118 | $797.28 | |
| 96127 | 75 | 74 | $739.44 | |
| 90853 | 17 | 12 | $510.31 | |
| 90734 | 347 | 343 | $502.17 | |
| 87426 | 14 | 14 | $494.62 | |
| 90649 | 71 | 69 | $275.18 | |
| 82948 | 94 | 87 | $257.18 | |
| 81002 | 56 | 56 | $171.92 | |
| 92551 | 15 | 15 | $140.70 | |
| 83037 | 16 | 16 | $136.96 | |
| G0444 | Depression screen annual | 204 | 203 | $90.00 |
| 91301 | 2,452 | 2,378 | $0.00 | |
| D9995 | 155 | 83 | $0.00 | |
| 91306 | 887 | 884 | $0.00 | |
| H0049 | Alcohol/drug screening | 520 | 518 | $0.00 |
| P4300 | 975 | 533 | $0.00 | |
| D3310 | 33 | 24 | $0.00 | |
| 91305 | 104 | 101 | $0.00 | |
| 99406 | 35 | 34 | $0.00 | |
| G0008 | Admin influenza virus vac | 188 | 182 | $0.00 |
| 91315 | 38 | 38 | $0.00 | |
| 91303 | 176 | 176 | $0.00 | |
| 36415 | 88 | 88 | $0.00 | |
| S0302 | Completed epsdt | 73 | 73 | $0.00 |
| 99000 | 12 | 12 | $0.00 | |
| D0999 | 24 | 12 | $0.00 | |
| 90633 | 223 | 221 | $0.00 | |
| 91312 | 250 | 248 | $0.00 | |
| D9996 | 31 | 16 | $0.00 | |
| 90750 | 12 | 12 | $0.00 |