NPI: 1497148407 · BROCKTON, MA 02301 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,688 | $261K |
| 2019 | 1,898 | $166K |
| 2020 | 3,274 | $521K |
| 2021 | 3,932 | $496K |
| 2022 | 17,180 | $1.82M |
| 2023 | 28,544 | $2.68M |
| 2024 | 13,374 | $1.58M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1040 | Comm bh clinic svc per diem | 19,214 | 11,080 | $2.66M |
| G0470 | Fqhc visit, mh estab pt | 13,524 | 12,653 | $2.59M |
| T1015 | Clinic service | 3,365 | 2,967 | $716K |
| D9450 | 3,576 | 2,609 | $211K | |
| 99391 | 853 | 814 | $185K | |
| 90834 | 2,064 | 1,511 | $177K | |
| 99392 | 677 | 658 | $147K | |
| G0469 | Fqhc visit, mh new pt | 572 | 571 | $109K |
| 99393 | 450 | 438 | $94K | |
| 99213 | 1,763 | 1,618 | $92K | |
| 90460 | 2,396 | 2,305 | $87K | |
| 99394 | 391 | 364 | $81K | |
| 90832 | 1,307 | 1,129 | $56K | |
| D1206 | 2,911 | 2,401 | $52K | |
| D0145 | 3,111 | 2,518 | $52K | |
| 90791 | 232 | 231 | $27K | |
| 96110 | 2,247 | 1,794 | $21K | |
| 99214 | 352 | 328 | $19K | |
| 99384 | 83 | 80 | $16K | |
| 99173 | 688 | 653 | $15K | |
| 99383 | 61 | 60 | $13K | |
| 87502 | 318 | 315 | $11K | |
| 99050 | 186 | 182 | $9K | |
| 87426 | 232 | 228 | $8K | |
| 90792 | 77 | 77 | $8K | |
| 99395 | 42 | 41 | $8K | |
| 99381 | 29 | 29 | $6K | |
| 96127 | 1,004 | 950 | $6K | |
| 87880 | 327 | 319 | $5K | |
| 0124A | 97 | 87 | $4K | |
| 99382 | 17 | 17 | $4K | |
| 0111A | 83 | 80 | $4K | |
| 90837 | 35 | 27 | $3K | |
| 90474 | 291 | 284 | $2K | |
| 99188 | 89 | 84 | $2K | |
| 92551 | 247 | 235 | $2K | |
| T2022 | Case management, per month | 14 | 14 | $2K |
| 0071A | 46 | 44 | $2K | |
| 97802 | 60 | 60 | $2K | |
| 0112A | 32 | 32 | $1K | |
| 0154A | 30 | 28 | $1K | |
| 98967 | 54 | 48 | $901.26 | |
| 99460 | 14 | 14 | $886.20 | |
| 90662 | 57 | 57 | $828.10 | |
| 97803 | 30 | 29 | $712.20 | |
| 99462 | 20 | 16 | $671.00 | |
| 81025 | 77 | 75 | $569.25 | |
| 0051A | 12 | 12 | $550.44 | |
| 99212 | 15 | 12 | $517.56 | |
| 90882 | 17 | 15 | $483.95 | |
| 99397 | 24 | 24 | $444.66 | |
| 87804 | 31 | 20 | $438.00 | |
| D0120 | 42 | 28 | $434.00 | |
| 90471 | 34 | 34 | $401.06 | |
| 90651 | 293 | 274 | $243.48 | |
| 98966 | 26 | 26 | $218.40 | |
| 90686 | 1,462 | 1,405 | $209.33 | |
| 90620 | 126 | 120 | $190.74 | |
| 81002 | 55 | 54 | $165.78 | |
| G0008 | Admin influenza virus vac | 50 | 50 | $164.05 |
| 81003 | 58 | 57 | $112.86 | |
| 83036 | 170 | 168 | $47.79 | |
| 82947 | 337 | 305 | $46.28 | |
| 36416 | 36 | 36 | $0.00 | |
| 90696 | 142 | 134 | $0.00 | |
| 36415 | 13 | 13 | $0.00 | |
| 91307 | 76 | 73 | $0.00 | |
| 92558 | 464 | 440 | $0.00 | |
| 90697 | 573 | 564 | $0.00 | |
| 90619 | 237 | 222 | $0.00 | |
| D0140 | 26 | 13 | $0.00 | |
| 91305 | 60 | 55 | $0.00 | |
| 90744 | 72 | 69 | $0.00 | |
| 90698 | 144 | 143 | $0.00 | |
| 90716 | 87 | 83 | $0.00 | |
| 91315 | 14 | 13 | $0.00 | |
| 90715 | 192 | 181 | $0.00 | |
| 91312 | 82 | 72 | $0.00 | |
| 90461 | 1,235 | 1,201 | $0.00 | |
| 91311 | 119 | 116 | $0.00 | |
| 90713 | 78 | 76 | $0.00 | |
| 90707 | 56 | 53 | $0.00 | |
| 99177 | 162 | 155 | $0.00 | |
| 91308 | 28 | 28 | $0.00 | |
| 90670 | 733 | 719 | $0.00 | |
| 90633 | 453 | 440 | $0.00 | |
| 90710 | 340 | 329 | $0.00 | |
| 90681 | 371 | 363 | $0.00 |