NPI: 1457326803 · WATERTOWN, MA 02472 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 707 | $22K |
| 2019 | 378 | $9K |
| 2020 | 278 | $6K |
| 2021 | 194 | $3K |
| 2022 | 14 | $710.94 |
| 2023 | 13 | $613.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 304 | 289 | $18K | |
| 90460 | 397 | 289 | $11K | |
| S0302 | Completed epsdt | 342 | 338 | $3K |
| 99214 | 26 | 25 | $2K | |
| 96127 | 163 | 161 | $2K | |
| 99173 | 65 | 65 | $1K | |
| 99393 | 17 | 17 | $1K | |
| 99212 | 25 | 25 | $876.30 | |
| 0071A | 19 | 19 | $871.72 | |
| 96110 | 73 | 72 | $747.57 | |
| 0072A | 14 | 14 | $642.32 | |
| 87880 | 41 | 41 | $539.29 | |
| 81002 | 98 | 98 | $252.07 |