NPI: 1528403649 · HARRISBURG, PA 17112 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $1K |
| 2019 | 200 | $9K |
| 2020 | 1,390 | $44K |
| 2021 | 6,156 | $179K |
| 2022 | 5,245 | $162K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,077 | 4,856 | $264K | |
| 99213 | 2,175 | 2,087 | $84K | |
| 90686 | 644 | 636 | $7K | |
| 90750 | 38 | 38 | $5K | |
| 99394 | 61 | 60 | $5K | |
| G0008 | Admin influenza virus vac | 476 | 467 | $5K |
| 99395 | 73 | 71 | $3K | |
| 99204 | 30 | 29 | $3K | |
| 99396 | 75 | 74 | $3K | |
| 3074F | 473 | 462 | $3K | |
| 90715 | 90 | 90 | $2K | |
| 90732 | 35 | 35 | $2K | |
| 3079F | 288 | 283 | $2K | |
| 99393 | 16 | 16 | $1K | |
| 3078F | 239 | 238 | $1K | |
| 99384 | 12 | 12 | $1K | |
| 3077F | 220 | 218 | $1K | |
| 3080F | 185 | 181 | $870.00 | |
| 99385 | 13 | 13 | $586.35 | |
| 90471 | 54 | 54 | $387.42 | |
| 96372 | 27 | 27 | $302.73 | |
| G0009 | Admin pneumococcal vaccine | 43 | 40 | $302.50 |
| 99211 | 15 | 13 | $266.70 | |
| 3075F | 42 | 42 | $230.00 | |
| 90734 | 15 | 15 | $110.00 | |
| 99173 | 61 | 56 | $103.50 | |
| 92551 | 20 | 18 | $59.40 | |
| J1885 | Ketorolac tromethamine inj | 37 | 37 | $16.02 |
| J3420 | Vitamin b12 injection | 12 | 12 | $6.37 |
| 3008F | 2,472 | 2,164 | $0.00 | |
| 90677 | 13 | 13 | $0.00 |