NPI: 1437707809 · BELMONT, NH 03220 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,882 | $99K |
| 2021 | 8,988 | $326K |
| 2022 | 6,093 | $225K |
| 2023 | 4,396 | $189K |
| 2024 | 2,016 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,080 | 3,680 | $262K | |
| 99213 | 5,634 | 5,063 | $242K | |
| 99203 | 2,834 | 2,587 | $108K | |
| 99204 | 1,362 | 1,256 | $80K | |
| 87426 | 2,338 | 2,118 | $69K | |
| U0003 | Cov-19 amp prb hgh thruput | 775 | 695 | $48K |
| 87428 | 1,007 | 837 | $48K | |
| 87880 | 2,580 | 2,302 | $20K | |
| G2023 | Specimen collect covid-19 | 762 | 703 | $17K |
| U0005 | Infec agen detec ampli probe | 775 | 695 | $15K |
| 87804 | 919 | 433 | $6K | |
| 99211 | 309 | 237 | $4K | |
| 99215 | Prolong outpt/office vis | 14 | 13 | $972.96 |
| 0012A | 21 | 20 | $680.00 | |
| 81003 | 540 | 499 | $626.19 | |
| 0011A | 15 | 14 | $520.00 | |
| 81025 | 37 | 29 | $179.18 | |
| 94640 | 15 | 15 | $148.82 | |
| 87807 | 19 | 15 | $136.12 | |
| J8540 | Oral dexamethasone | 82 | 80 | $70.30 |
| H0033 | Oral med adm direct observe | 180 | 172 | $63.00 |
| J1100 | Dexamethasone sodium phos | 16 | 14 | $2.71 |
| 91300 | 14 | 14 | $0.00 | |
| 91301 | 47 | 44 | $0.00 |