NPI: 1487844726 · DORCHESTER, MA 02124 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,191 | $106K |
| 2019 | 14,630 | $74K |
| 2020 | 11,108 | $62K |
| 2021 | 12,433 | $57K |
| 2022 | 7,338 | $80K |
| 2023 | 6,335 | $91K |
| 2024 | 4,072 | $111K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 19,462 | 15,746 | $552K |
| Q3014 | Telehealth facility fee | 2,478 | 2,205 | $9K |
| 92014 | 144 | 140 | $3K | |
| G0008 | Admin influenza virus vac | 1,318 | 1,312 | $3K |
| 90694 | 265 | 265 | $2K | |
| 99487 | Ccm add 20min | 52 | 52 | $2K |
| 90656 | 789 | 781 | $2K | |
| 90832 | 1,315 | 881 | $1K | |
| G0439 | Ppps, subseq visit | 445 | 441 | $1K |
| C9803 | Hopd covid-19 spec collect | 703 | 652 | $984.16 |
| 90834 | 549 | 346 | $745.77 | |
| 90653 | 44 | 44 | $393.13 | |
| 83036 | 1,957 | 1,943 | $361.11 | |
| 96372 | 108 | 94 | $315.65 | |
| 90471 | 119 | 116 | $150.90 | |
| 91322 | 18 | 17 | $145.92 | |
| 82948 | 777 | 726 | $117.32 | |
| 90677 | 13 | 12 | $102.57 | |
| 90674 | 29 | 29 | $83.59 | |
| 84443 | 266 | 265 | $49.99 | |
| 36415 | 3,381 | 3,135 | $47.10 | |
| 90480 | 18 | 17 | $45.87 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 58 | 57 | $35.65 |
| 82962 | 2,408 | 2,238 | $33.03 | |
| 77067 | 162 | 160 | $27.74 | |
| ATP03 | 619 | 574 | $20.55 | |
| Q2036 | Flulaval vacc, 3 yrs & >, im | 14 | 14 | $16.00 |
| 86803 | 42 | 42 | $11.99 | |
| 80061 | 1,250 | 1,239 | $0.00 | |
| D0220 | 1,949 | 1,817 | $0.00 | |
| D2391 | 1,148 | 871 | $0.00 | |
| U0003 | Cov-19 amp prb hgh thruput | 348 | 318 | $0.00 |
| D0274 | 1,393 | 1,353 | $0.00 | |
| 81003 | 220 | 211 | $0.00 | |
| 87491 | 172 | 168 | $0.00 | |
| 82570 | 191 | 190 | $0.00 | |
| D1110 | 2,140 | 2,092 | $0.00 | |
| 0004A | 56 | 56 | $0.00 | |
| 91300 | 29 | 28 | $0.00 | |
| D0270 | 90 | 86 | $0.00 | |
| 0124A | 37 | 37 | $0.00 | |
| D9110 | 93 | 80 | $0.00 | |
| 90750 | 27 | 27 | $0.00 | |
| 0013A | 57 | 56 | $0.00 | |
| 82274 | 12 | 12 | $0.00 | |
| D0330 | 41 | 38 | $0.00 | |
| D4341 | 45 | 25 | $0.00 | |
| 36416 | 2,666 | 2,477 | $0.00 | |
| D9450 | 12,753 | 9,350 | $0.00 | |
| 80048 | 900 | 869 | $0.00 | |
| D0230 | 531 | 272 | $0.00 | |
| D0150 | 557 | 533 | $0.00 | |
| D0120 | 1,966 | 1,895 | $0.00 | |
| 0011A | 400 | 400 | $0.00 | |
| 82043 | 247 | 246 | $0.00 | |
| D0140 | 2,626 | 2,364 | $0.00 | |
| U0005 | Infec agen detec ampli probe | 327 | 301 | $0.00 |
| 80053 | 755 | 739 | $0.00 | |
| D0210 | 780 | 742 | $0.00 | |
| 91301 | 683 | 669 | $0.00 | |
| D2392 | 1,017 | 830 | $0.00 | |
| D2331 | 31 | 25 | $0.00 | |
| 0012A | 389 | 389 | $0.00 | |
| D7140 | 1,056 | 658 | $0.00 | |
| D1320 | 144 | 130 | $0.00 | |
| 87389 | 37 | 36 | $0.00 | |
| 85025 | 667 | 646 | $0.00 | |
| 87591 | 171 | 167 | $0.00 | |
| D2393 | 94 | 90 | $0.00 | |
| 0064A | 243 | 241 | $0.00 | |
| ATP11 | 12 | 12 | $0.00 | |
| 0134A | 58 | 58 | $0.00 | |
| 86780 | 25 | 25 | $0.00 | |
| 85027 | 27 | 27 | $0.00 | |
| 94760 | 15 | 15 | $0.00 | |
| D9995 | 54 | 51 | $0.00 | |
| 91306 | 12 | 12 | $0.00 | |
| ATP14 | 13 | 13 | $0.00 |