NPI: 1598770018 · NEW YORK, NY 10003 · 261QR0207X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,186 | $473K |
| 2019 | 13,684 | $1.05M |
| 2020 | 19,262 | $1.78M |
| 2021 | 15,884 | $1.64M |
| 2022 | 11,930 | $1.27M |
| 2023 | 15,662 | $2.33M |
| 2024 | 14,871 | $2.47M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2036 | A/d tx program, per diem | 21,434 | 1,410 | $3.62M |
| 99213 | 23,557 | 14,165 | $2.24M | |
| H0014 | Alcohol and/or drug services | 7,674 | 1,509 | $1.52M |
| 99212 | 12,380 | 8,181 | $1.11M | |
| H0005 | Alcohol and/or drug services | 11,698 | 2,664 | $712K |
| 90832 | 2,463 | 1,314 | $478K | |
| 99214 | 3,434 | 2,190 | $347K | |
| G0397 | Alcohol/subs interv >30 min | 1,327 | 784 | $202K |
| 77067 | 1,768 | 1,764 | $190K | |
| G0396 | Alcohol/subs interv 15-30mn | 1,412 | 724 | $154K |
| 90792 | 1,067 | 960 | $144K | |
| 99406 | 3,713 | 2,699 | $84K | |
| 90834 | 184 | 130 | $28K | |
| 99443 | 357 | 254 | $27K | |
| 99442 | 395 | 279 | $26K | |
| 99203 | 278 | 173 | $25K | |
| 90791 | 141 | 135 | $22K | |
| D1110 | 132 | 91 | $14K | |
| 80354 | 761 | 488 | $13K | |
| 99202 | 171 | 57 | $11K | |
| 92004 | 137 | 137 | $10K | |
| D0220 | 173 | 120 | $4K | |
| 99201 | 52 | 25 | $4K | |
| 82962 | 298 | 195 | $4K | |
| 90471 | 258 | 241 | $3K | |
| 90674 | 155 | 150 | $2K | |
| 99211 | 26 | 17 | $2K | |
| 86580 | 250 | 227 | $2K | |
| 92340 | 156 | 156 | $2K | |
| D9110 | 25 | 12 | $2K | |
| D0230 | 72 | 40 | $2K | |
| S0580 | Polycarb lens | 102 | 101 | $2K |
| 92015 | 108 | 108 | $1K | |
| 86703 | 61 | 52 | $1K | |
| V2020 | Vision svcs frames purchases | 165 | 165 | $891.00 |
| D0150 | 18 | 12 | $824.96 | |
| 90632 | 17 | 14 | $774.28 | |
| 96372 | 44 | 38 | $617.10 | |
| 90853 | 23 | 13 | $518.84 | |
| 99408 | 31 | 25 | $439.33 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 46 | 45 | $430.65 |
| 99441 | 15 | 12 | $345.41 | |
| 99401 | 16 | 15 | $182.40 | |
| 86803 | 559 | 553 | $0.80 | |
| 86704 | 565 | 559 | $0.79 | |
| 86706 | 485 | 480 | $0.24 | |
| 87389 | 50 | 50 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 226 | 205 | $0.00 |