NPI: 1487022992 · MANCHESTER, NH 03102 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,696 | $549K |
| 2019 | 5,906 | $489K |
| 2020 | 4,209 | $351K |
| 2021 | 14,784 | $906K |
| 2022 | 5,831 | $528K |
| 2023 | 734 | $84K |
| 2024 | 768 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 17,064 | 14,455 | $3.02M |
| G0467 | Fqhc visit, estab pt | 1,041 | 664 | $13K |
| 87428 | 246 | 223 | $7K | |
| 90686 | 490 | 408 | $3K | |
| 87880 | 512 | 474 | $3K | |
| 87811 | 3,046 | 2,896 | $3K | |
| 99213 | 12,623 | 10,987 | $2K | |
| 90471 | 390 | 321 | $789.80 | |
| 99214 | 734 | 610 | $478.48 | |
| 87400 | 124 | 116 | $389.52 | |
| 90460 | 176 | 128 | $329.17 | |
| 87635 | 2,069 | 1,956 | $105.80 | |
| 90461 | 56 | 14 | $80.50 | |
| 96160 | 14 | 14 | $32.78 | |
| 99212 | 79 | 72 | $9.41 | |
| 90834 | 53 | 44 | $0.00 | |
| 99203 | 152 | 102 | $0.00 | |
| 90832 | 25 | 12 | $0.00 | |
| 99395 | 34 | 26 | $0.00 |