NPI: 1467503433 · TAMUNING, GU 96913 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 150 | $6K |
| 2020 | 835 | $43K |
| 2021 | 825 | $58K |
| 2022 | 938 | $63K |
| 2023 | 1,168 | $70K |
| 2024 | 181 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,697 | 1,598 | $155K | |
| 99213 | 1,586 | 1,529 | $98K | |
| 90471 | 181 | 178 | $3K | |
| 90472 | 13 | 13 | $220.48 | |
| 90688 | 92 | 92 | $102.40 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 427 | 405 | $0.00 |
| 90750 | 12 | 12 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 75 | 72 | $0.00 |