NPI: 1487082608 · PHILADELPHIA, PA 19107 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,536 | $224K |
| 2019 | 1,556 | $146K |
| 2020 | 9,185 | $879K |
| 2021 | 37,465 | $3.73M |
| 2022 | 34,371 | $3.44M |
| 2023 | 34,574 | $4.99M |
| 2024 | 30,180 | $4.67M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 66,015 | 53,651 | $18.04M |
| 99213 | 12,618 | 11,572 | $9K | |
| G0467 | Fqhc visit, estab pt | 1,041 | 916 | $8K |
| 99406 | 1,859 | 1,764 | $8K | |
| 99214 | 16,467 | 15,347 | $7K | |
| 99499 | 91 | 83 | $2K | |
| 90686 | 1,921 | 1,883 | $1K | |
| 0012A | 20 | 20 | $646.23 | |
| 0011A | 32 | 32 | $540.39 | |
| 90460 | 881 | 719 | $536.53 | |
| G2025 | Dis site tele svcs rhc/fqhc | 23 | 17 | $417.69 |
| 90471 | 2,566 | 2,503 | $271.64 | |
| D0330 | 231 | 231 | $252.61 | |
| D1206 | 1,747 | 1,694 | $144.00 | |
| D7140 | 321 | 185 | $130.00 | |
| 90480 | 13 | 13 | $120.00 | |
| 36415 | 9,349 | 9,025 | $116.12 | |
| 99203 | 182 | 180 | $113.94 | |
| D1110 | 761 | 748 | $108.00 | |
| 96372 | 229 | 207 | $106.72 | |
| 80305 | 446 | 415 | $62.85 | |
| 92558 | 588 | 566 | $60.34 | |
| D0120 | 846 | 821 | $60.00 | |
| D0150 | 430 | 427 | $60.00 | |
| D0140 | 854 | 801 | $55.22 | |
| D0220 | 1,032 | 989 | $32.00 | |
| 81025 | 523 | 490 | $25.85 | |
| 99401 | 544 | 517 | $21.00 | |
| 99173 | 757 | 732 | $18.95 | |
| D0230 | 382 | 329 | $16.00 | |
| D1330 | 1,285 | 1,253 | $15.00 | |
| 90656 | 13 | 13 | $10.00 | |
| 96127 | 321 | 313 | $2.57 | |
| 99000 | 11,189 | 10,692 | $1.98 | |
| 90750 | 25 | 25 | $0.00 | |
| 99395 | 17 | 16 | $0.00 | |
| D0270 | 111 | 111 | $0.00 | |
| 99392 | 417 | 414 | $0.00 | |
| 99391 | 67 | 66 | $0.00 | |
| D1354 | 690 | 216 | $0.00 | |
| D0274 | 248 | 246 | $0.00 | |
| 99212 | 46 | 45 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 637 | 578 | $0.00 |
| 86703 | 194 | 188 | $0.00 | |
| 99393 | 76 | 71 | $0.00 | |
| 90461 | 204 | 156 | $0.00 | |
| 90472 | 102 | 98 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| D1120 | 139 | 139 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 187 | 181 | $0.00 |
| G0101 | Ca screen;pelvic/breast exam | 13 | 13 | $0.00 |
| 90648 | 13 | 13 | $0.00 | |
| G8482 | Flu immunize order/admin | 136 | 129 | $0.00 |
| 4004F | 44 | 44 | $0.00 | |
| D2391 | 38 | 28 | $0.00 | |
| 83655 | 12 | 12 | $0.00 | |
| 99204 | 12 | 12 | $0.00 | |
| D0191 | 27 | 26 | $0.00 | |
| 3008F | 6,851 | 6,435 | $0.00 | |
| D5899 | 574 | 433 | $0.00 | |
| 96110 | 1,180 | 1,171 | $0.00 | |
| D1310 | 695 | 676 | $0.00 | |
| 96161 | 534 | 534 | $0.00 | |
| G0008 | Admin influenza virus vac | 45 | 44 | $0.00 |
| D2392 | 346 | 259 | $0.00 | |
| 91200 | 12 | 12 | $0.00 | |
| D0210 | 207 | 207 | $0.00 | |
| D1320 | 93 | 82 | $0.00 | |
| 36416 | 41 | 40 | $0.00 | |
| 90677 | 13 | 13 | $0.00 | |
| 85018 | 13 | 13 | $0.00 | |
| D9995 | 139 | 139 | $0.00 | |
| 99202 | 12 | 12 | $0.00 | |
| D2393 | 16 | 12 | $0.00 | |
| 99385 | 14 | 14 | $0.00 | |
| 96156 | 12 | 12 | $0.00 | |
| 90723 | 13 | 12 | $0.00 | |
| D0603 | 13 | 13 | $0.00 |