NPI: 1457397986 · ROXBURY CROSSING, MA 02120 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 107,818 | $5.34M |
| 2019 | 106,849 | $4.47M |
| 2020 | 84,390 | $5.60M |
| 2021 | 96,874 | $6.35M |
| 2022 | 94,531 | $7.45M |
| 2023 | 76,562 | $4.24M |
| 2024 | 77,177 | $3.28M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 141,506 | 111,697 | $21.60M |
| G0470 | Fqhc visit, mh estab pt | 15,740 | 13,230 | $2.50M |
| D9450 | 102,371 | 52,096 | $2.24M | |
| 99395 | 4,337 | 4,298 | $638K | |
| 99392 | 4,240 | 4,180 | $618K | |
| G0467 | Fqhc visit, estab pt | 13,444 | 11,468 | $589K |
| 99393 | 3,930 | 3,923 | $579K | |
| 99391 | 3,730 | 3,578 | $555K | |
| 99394 | 3,364 | 3,358 | $493K | |
| D1110 | 28,383 | 18,634 | $488K | |
| 90834 | 6,731 | 4,430 | $479K | |
| 99213 | 18,892 | 16,923 | $452K | |
| 90832 | 11,200 | 7,985 | $431K | |
| D2740 | 1,042 | 644 | $289K | |
| 92014 | 5,884 | 5,865 | $288K | |
| D0210 | 12,040 | 7,882 | $286K | |
| D7140 | 5,738 | 1,855 | $239K | |
| D2392 | 9,596 | 5,170 | $236K | |
| D9110 | 9,941 | 5,430 | $228K | |
| D0140 | 10,564 | 5,574 | $223K | |
| D2391 | 9,992 | 4,539 | $185K | |
| 92004 | 2,695 | 2,690 | $178K | |
| D0120 | 16,744 | 12,178 | $171K | |
| D0274 | 11,486 | 8,147 | $158K | |
| D0150 | 9,999 | 6,695 | $155K | |
| D0220 | 16,642 | 9,937 | $155K | |
| D1120 | 3,033 | 2,956 | $148K | |
| T1040 | Comm bh clinic svc per diem | 969 | 608 | $129K |
| G2025 | Dis site tele svcs rhc/fqhc | 6,483 | 5,224 | $123K |
| 99214 | 5,664 | 5,403 | $114K | |
| D0330 | 2,639 | 1,502 | $101K | |
| 90715 | 4,129 | 4,118 | $91K | |
| 92015 | 6,977 | 6,962 | $84K | |
| 92340 | 2,899 | 2,575 | $81K | |
| D2393 | 3,530 | 2,007 | $79K | |
| D7210 | 1,163 | 380 | $78K | |
| D0230 | 10,419 | 5,619 | $78K | |
| D4342 | 3,295 | 778 | $66K | |
| 99211 | 5,859 | 4,879 | $62K | |
| 90746 | 937 | 931 | $59K | |
| 0012A | 975 | 929 | $44K | |
| D1206 | 1,644 | 1,614 | $43K | |
| 90649 | 1,616 | 1,611 | $42K | |
| D4341 | 4,209 | 825 | $41K | |
| 99381 | 230 | 224 | $40K | |
| 0011A | 998 | 987 | $38K | |
| D5212 | 265 | 165 | $38K | |
| 0001A | 863 | 809 | $37K | |
| D2330 | 1,745 | 665 | $33K | |
| 90670 | 3,312 | 3,298 | $32K | |
| D2335 | 841 | 389 | $30K | |
| D2331 | 1,375 | 693 | $29K | |
| D5211 | 188 | 114 | $26K | |
| D8670 | 128 | 109 | $24K | |
| D0180 | 2,038 | 1,367 | $23K | |
| 90471 | 11,315 | 10,999 | $22K | |
| 90480 | 511 | 506 | $21K | |
| 0004A | 448 | 447 | $19K | |
| 96372 | 3,230 | 3,083 | $19K | |
| 0064A | 443 | 441 | $19K | |
| 90658 | 3,908 | 3,894 | $18K | |
| 0002A | 407 | 406 | $18K | |
| D2332 | 622 | 298 | $17K | |
| 99212 | 1,127 | 1,086 | $16K | |
| D7230 | 195 | 92 | $16K | |
| D2954 | 258 | 131 | $15K | |
| 90460 | 12,308 | 12,127 | $15K | |
| D0272 | 560 | 526 | $14K | |
| 92012 | 299 | 292 | $13K | |
| D1351 | 359 | 83 | $12K | |
| 90661 | 474 | 471 | $12K | |
| 0124A | 295 | 287 | $12K | |
| 91320 | 225 | 225 | $11K | |
| D3310 | 486 | 279 | $11K | |
| D3330 | 45 | 42 | $11K | |
| 90657 | 2,956 | 2,947 | $10K | |
| 90707 | 1,030 | 1,022 | $9K | |
| D3320 | 57 | 37 | $9K | |
| 96127 | 831 | 821 | $8K | |
| 90853 | 313 | 192 | $8K | |
| 0134A | 223 | 218 | $7K | |
| 92341 | 198 | 196 | $7K | |
| 99203 | 289 | 287 | $6K | |
| 91322 | 123 | 123 | $6K | |
| 99385 | 67 | 65 | $5K | |
| D2150 | 107 | 68 | $5K | |
| 90837 | 56 | 49 | $5K | |
| D2950 | 83 | 66 | $4K | |
| 92133 | 401 | 392 | $4K | |
| 81025 | 634 | 608 | $4K | |
| 99188 | 159 | 159 | $4K | |
| 99204 | 41 | 39 | $4K | |
| 90686 | 757 | 755 | $4K | |
| 90791 | 30 | 29 | $3K | |
| 87880 | 240 | 235 | $3K | |
| 86580 | 468 | 453 | $3K | |
| V2020 | Vision svcs frames purchases | 32 | 32 | $2K |
| 99051 | 820 | 790 | $2K | |
| 99383 | 12 | 12 | $2K | |
| 0054A | 46 | 46 | $2K | |
| 99396 | 33 | 32 | $2K | |
| 99215 | Prolong outpt/office vis | 24 | 24 | $2K |
| 90716 | 1,080 | 1,071 | $2K | |
| 0071A | 39 | 39 | $2K | |
| 90461 | 12,834 | 7,571 | $2K | |
| 90732 | 100 | 100 | $2K | |
| D7311 | 145 | 43 | $1K | |
| 92134 | 259 | 258 | $1K | |
| 96110 | 256 | 243 | $1K | |
| 90472 | 1,504 | 1,487 | $1K | |
| 87210 | 231 | 227 | $959.20 | |
| 87220 | 226 | 222 | $948.37 | |
| 90656 | 911 | 908 | $930.49 | |
| V2200 | Lens spher bifoc plano 4.00d | 14 | 14 | $772.10 |
| 90650 | 20 | 20 | $672.00 | |
| D2751 | 59 | 19 | $571.00 | |
| 90710 | 404 | 403 | $531.00 | |
| 90651 | 730 | 730 | $440.00 | |
| 90723 | 1,457 | 1,456 | $390.00 | |
| 92083 | 12 | 12 | $357.57 | |
| 90736 | 191 | 190 | $212.50 | |
| 90680 | 2,000 | 1,998 | $135.00 | |
| 90734 | 887 | 885 | $135.00 | |
| 90713 | 74 | 74 | $112.56 | |
| G0008 | Admin influenza virus vac | 17 | 17 | $108.60 |
| 90648 | 1,975 | 1,968 | $93.60 | |
| D0460 | 1,210 | 602 | $58.00 | |
| 90633 | 1,861 | 1,836 | $47.88 | |
| 36416 | 182 | 170 | $33.12 | |
| 82962 | 129 | 118 | $27.48 | |
| 90634 | 262 | 262 | $0.00 | |
| 90744 | 28 | 28 | $0.00 | |
| 90696 | 175 | 174 | $0.00 | |
| 91306 | 678 | 669 | $0.00 | |
| 90620 | 497 | 493 | $0.00 | |
| 91301 | 992 | 878 | $0.00 | |
| D1330 | 110 | 81 | $0.00 | |
| 91305 | 250 | 246 | $0.00 | |
| 91307 | 270 | 252 | $0.00 | |
| 90702 | 78 | 77 | $0.00 | |
| D1310 | 107 | 79 | $0.00 | |
| D9310 | 73 | 26 | $0.00 | |
| 90700 | 927 | 910 | $0.00 | |
| 91300 | 4,166 | 3,611 | $0.00 | |
| D0190 | 139 | 80 | $0.00 | |
| 91312 | 290 | 286 | $0.00 | |
| 91313 | 153 | 153 | $0.00 |