1200 SUFFIELD STREET OPERATOR LLC
NPI: 1437675527
· AGAWAM, MA 01001
· 314000000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,069 |
$6K |
| 2019 |
2,193 |
$12K |
| 2020 |
2,261 |
$11K |
| 2021 |
1,123 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
2,524 |
304 |
$26K |
| 97116 |
|
530 |
61 |
$4K |
| 97112 |
|
500 |
104 |
$4K |
| 97535 |
|
62 |
12 |
$661.17 |
| 97162 |
|
13 |
12 |
$173.13 |
| 97110 |
|
2,922 |
307 |
$83.46 |
| G8978 |
Mobility current status |
30 |
16 |
$0.00 |
| G8979 |
Mobility goal status |
35 |
17 |
$0.00 |
| 90756 |
|
15 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
15 |
15 |
$0.00 |