NPI: 1598216921 · WEST SPRINGFIELD, MA 01089 · 2085R0204X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 229 | $2K |
| 2019 | 521 | $2K |
| 2020 | 1,026 | $7K |
| 2021 | 1,279 | $6K |
| 2022 | 525 | $4K |
| 2023 | 301 | $1K |
| 2024 | 352 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76937 | 846 | 663 | $6K | |
| 99213 | 232 | 210 | $5K | |
| 99153 | Mod sedat endo service >5yrs | 584 | 516 | $3K |
| 99152 | 686 | 611 | $3K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 367 | 329 | $2K |
| 99203 | 37 | 37 | $1K | |
| 99205 | Prolong outpt/office vis | 23 | 18 | $728.07 |
| 99212 | 31 | 30 | $499.41 | |
| 99214 | 13 | 12 | $364.93 | |
| 77001 | 16 | 12 | $284.91 | |
| J3010 | Fentanyl citrate injection | 675 | 611 | $249.09 |
| J2250 | Inj midazolam hydrochloride | 599 | 545 | $65.89 |
| J0690 | Cefazolin sodium injection | 24 | 24 | $8.82 |
| G8417 | Calc bmi abv up param f/u | 28 | 25 | $0.00 |
| 1124F | 72 | 66 | $0.00 |