NPI: 1497983662 · SILVER SPRING, MD 20904 · 363LP0808X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 55 | $80.64 |
| 2022 | 211 | $28.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99308 | 68 | 61 | $108.80 | |
| G9512 | Indiv pdc > 0.8 | 24 | 24 | $0.00 |
| 1123F | 24 | 24 | $0.00 | |
| G9922 | Sfty cncrns scrn nd mit recs | 17 | 17 | $0.00 |
| G8734 | Doc neg eld req | 22 | 22 | $0.00 |
| G8433 | Scr for dep not cpt doc rsn | 22 | 22 | $0.00 |
| G9916 | Funct status past 12 months | 24 | 24 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 24 | 24 | $0.00 |
| G9919 | Scrn nd pos nd prov of rec | 17 | 17 | $0.00 |
| 4322F | 24 | 24 | $0.00 |