NPI: 1437551868 · WILKES BARRE, PA 18702 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 444 | $292.04 |
| 2020 | 7,906 | $160K |
| 2021 | 30,313 | $867K |
| 2022 | 16,282 | $576K |
| 2023 | 15,338 | $468K |
| 2024 | 15,571 | $447K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X0621 | 2,562 | 1,846 | $511K | |
| 87481 | 4,493 | 3,862 | $280K | |
| 87661 | 6,757 | 6,342 | $260K | |
| 87491 | 6,910 | 6,638 | $174K | |
| 87591 | 6,035 | 5,765 | $138K | |
| 0202U | 546 | 531 | $136K | |
| U0004 | Cov-19 test non-cdc hgh thru | 1,253 | 1,236 | $105K |
| 87150 | 2,250 | 2,210 | $91K | |
| 88175 | 2,650 | 2,590 | $78K | |
| 87624 | 1,764 | 1,728 | $68K | |
| 87631 | 377 | 357 | $51K | |
| 87086 | 5,436 | 5,280 | $44K | |
| 87511 | 1,811 | 1,754 | $35K | |
| 17110 | 733 | 717 | $32K | |
| T1015 | Clinic service | 1,024 | 892 | $30K |
| 96372 | 1,809 | 1,661 | $25K | |
| 86803 | 1,164 | 1,137 | $22K | |
| 87389 | 643 | 638 | $18K | |
| 77067 | 232 | 232 | $18K | |
| 81025 | 4,309 | 4,151 | $17K | |
| 11721 | 1,355 | 1,330 | $17K | |
| 76830 | 290 | 264 | $17K | |
| 96900 | 680 | 165 | $17K | |
| 88305 | 1,141 | 1,015 | $16K | |
| 84443 | 688 | 672 | $16K | |
| U0005 | Infec agen detec ampli probe | 1,014 | 1,001 | $14K |
| 73630 | 995 | 732 | $13K | |
| 90715 | 1,510 | 1,499 | $12K | |
| 81513 | 205 | 201 | $12K | |
| 90471 | 1,258 | 1,238 | $12K | |
| 11102 | 393 | 380 | $11K | |
| 80053 | 866 | 840 | $10K | |
| 82570 | 1,317 | 1,261 | $10K | |
| 87637 | 73 | 70 | $9K | |
| 85027 | 1,123 | 1,088 | $8K | |
| 86762 | 388 | 386 | $8K | |
| Q3014 | Telehealth facility fee | 554 | 549 | $8K |
| J7298 | Mirena, 52 mg | 15 | 12 | $7K |
| 85025 | 1,251 | 1,237 | $7K | |
| 87340 | 462 | 461 | $7K | |
| 86850 | 750 | 743 | $6K | |
| 11057 | 270 | 263 | $6K | |
| 88312 | 99 | 95 | $6K | |
| 80081 | 72 | 70 | $6K | |
| 77066 | Tomosynthesis, mammo | 66 | 66 | $5K |
| G0008 | Admin influenza virus vac | 577 | 572 | $5K |
| 84156 | 1,267 | 1,213 | $5K | |
| 82728 | 435 | 429 | $5K | |
| 84702 | 303 | 267 | $5K | |
| 90686 | 428 | 424 | $5K | |
| 77063 | 232 | 232 | $5K | |
| 86592 | 1,140 | 1,125 | $5K | |
| 87430 | 740 | 718 | $5K | |
| 71046 | 235 | 230 | $4K | |
| 36415 | 2,932 | 2,771 | $4K | |
| 76642 | 109 | 88 | $4K | |
| 86901 | 843 | 762 | $4K | |
| 86900 | 842 | 762 | $4K | |
| 80061 | 266 | 263 | $4K | |
| 83540 | 433 | 426 | $4K | |
| 80307 | 47 | 47 | $3K | |
| 11900 | 32 | 32 | $3K | |
| 11056 | 167 | 166 | $3K | |
| 76817 | 36 | 36 | $3K | |
| 76815 | 55 | 55 | $3K | |
| G0101 | Ca screen;pelvic/breast exam | 65 | 64 | $3K |
| 77065 | Tomosynthesis, mammo | 44 | 44 | $3K |
| 82306 | 63 | 63 | $3K | |
| J1050 | Medroxyprogesterone acetate | 963 | 958 | $2K |
| 80048 | 251 | 247 | $2K | |
| 83550 | 424 | 418 | $2K | |
| 88341 | 25 | 25 | $2K | |
| 76801 | 41 | 41 | $2K | |
| 86780 | 134 | 133 | $2K | |
| 11042 | 98 | 77 | $2K | |
| 82950 | 293 | 288 | $2K | |
| 83036 | 290 | 288 | $2K | |
| G0279 | Tomosynthesis, mammo | 99 | 99 | $2K |
| J2791 | Rhophylac injection | 30 | 30 | $2K |
| U0002 | Covid-19 lab test non-cdc | 49 | 48 | $1K |
| 82607 | 109 | 108 | $1K | |
| 87186 | 150 | 146 | $1K | |
| 88342 | 28 | 27 | $1K | |
| 85046 | 176 | 171 | $1K | |
| G0480 | Drug test def 1-7 classes | 15 | 15 | $973.70 |
| 73610 | 31 | 29 | $804.52 | |
| 81003 | 263 | 263 | $791.85 | |
| 17000 | 55 | 54 | $729.90 | |
| 84146 | 27 | 27 | $671.20 | |
| 93005 | 72 | 72 | $667.06 | |
| G0463 | Hospital outpt clinic visit | 216 | 196 | $645.23 |
| 88304 | 63 | 55 | $594.56 | |
| 82746 | 46 | 45 | $543.36 | |
| 87101 | 54 | 53 | $521.44 | |
| 88142 | 29 | 29 | $452.64 | |
| 90656 | 175 | 175 | $423.48 | |
| 82565 | 62 | 58 | $375.78 | |
| 84439 | 45 | 45 | $374.16 | |
| 85610 | 75 | 73 | $239.12 | |
| J3301 | Triamcinolone acet inj nos | 276 | 268 | $226.20 |
| 58300 | 13 | 13 | $217.38 | |
| 87206 | 73 | 72 | $214.14 | |
| 86038 | 13 | 13 | $206.25 | |
| 51798 | 14 | 14 | $173.88 | |
| 85730 | 26 | 26 | $166.02 | |
| 82043 | 13 | 13 | $109.04 | |
| 85652 | 36 | 36 | $103.44 | |
| 87088 | 12 | 12 | $101.28 | |
| 87077 | 13 | 13 | $95.68 | |
| 84478 | 12 | 12 | $90.64 | |
| 86140 | 18 | 18 | $54.69 | |
| 90678 | 63 | 63 | $0.00 |