NPI: 1477716355 · SPRINGFIELD, MA 01104 · 207ZP0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 33 | $3K |
| 2019 | 1,575 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 88305 | 33 | 31 | $3K | |
| 87490 | 78 | 78 | $2K | |
| 84443 | 90 | 90 | $2K | |
| 87590 | 74 | 74 | $2K | |
| 82306 | 41 | 41 | $1K | |
| 86481 | 14 | 14 | $1K | |
| 85025 | 128 | 125 | $986.48 | |
| 87389 | 37 | 37 | $935.83 | |
| 83036 | 92 | 92 | $866.41 | |
| 87651 | 25 | 25 | $834.97 | |
| 80061 | 128 | 128 | $759.15 | |
| 80053 | 100 | 99 | $754.23 | |
| 80307 | 13 | 13 | $680.03 | |
| 85027 | 102 | 102 | $628.02 | |
| 87086 | 63 | 63 | $554.82 | |
| 80048 | 97 | 93 | $535.89 | |
| 86803 | 39 | 39 | $518.89 | |
| 80050 | 26 | 26 | $484.38 | |
| 86780 | 23 | 23 | $340.24 | |
| 87480 | 14 | 14 | $315.87 | |
| 87077 | 34 | 26 | $314.90 | |
| 82728 | 19 | 19 | $284.79 | |
| 87340 | 20 | 20 | $229.12 | |
| 87088 | 23 | 22 | $208.36 | |
| 86706 | 16 | 16 | $182.29 | |
| 83550 | 19 | 19 | $179.28 | |
| 87808 | 13 | 13 | $167.19 | |
| 82570 | 29 | 29 | $166.83 | |
| 83540 | 22 | 22 | $157.23 | |
| 81001 | 42 | 42 | $145.87 | |
| 87186 | 15 | 15 | $143.73 | |
| 82043 | 15 | 15 | $91.63 | |
| 85651 | 18 | 18 | $71.44 | |
| 85610 | 12 | 12 | $52.05 | |
| 36415 | 69 | 59 | $4.32 | |
| P9604 | One-way allow prorated trip | 25 | 19 | $0.95 |