NPI: 1609122506 · PHILADELPHIA, PA 19121 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,411 | $208K |
| 2019 | 657 | $166K |
| 2020 | 6,086 | $974K |
| 2021 | 22,881 | $3.61M |
| 2022 | 18,640 | $2.71M |
| 2023 | 15,091 | $2.65M |
| 2024 | 26,943 | $3.95M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 53,673 | 44,136 | $14.26M |
| G0467 | Fqhc visit, estab pt | 47 | 40 | $3K |
| 99213 | 19,981 | 17,401 | $2K | |
| D7140 | 944 | 507 | $584.00 | |
| 99214 | 5,251 | 4,747 | $391.84 | |
| D2392 | 669 | 398 | $132.00 | |
| D1110 | 681 | 678 | $112.80 | |
| D0330 | 363 | 359 | $88.80 | |
| 90686 | 12 | 12 | $66.22 | |
| D0120 | 1,166 | 1,150 | $64.00 | |
| D0274 | 862 | 852 | $61.60 | |
| D0140 | 496 | 465 | $55.22 | |
| D0210 | 393 | 391 | $45.00 | |
| D0150 | 555 | 552 | $44.00 | |
| D0220 | 854 | 821 | $33.60 | |
| D0230 | 463 | 382 | $25.60 | |
| D1330 | 710 | 692 | $10.00 | |
| D1206 | 1,080 | 1,060 | $0.00 | |
| D5899 | 448 | 335 | $0.00 | |
| 90471 | 205 | 195 | $0.00 | |
| 82962 | 81 | 79 | $0.00 | |
| D0602 | 180 | 180 | $0.00 | |
| D9995 | 38 | 38 | $0.00 | |
| D0603 | 471 | 461 | $0.00 | |
| 99441 | 30 | 28 | $0.00 | |
| 90656 | 16 | 16 | $0.00 | |
| D1320 | 25 | 24 | $0.00 | |
| D2393 | 52 | 44 | $0.00 | |
| 99349 | 41 | 31 | $0.00 | |
| 92551 | 25 | 17 | $0.00 | |
| D1351 | 40 | 12 | $0.00 | |
| 99188 | 30 | 26 | $0.00 | |
| 99347 | 51 | 41 | $0.00 | |
| 99215 | Prolong outpt/office vis | 197 | 181 | $0.00 |
| D1120 | 287 | 277 | $0.00 | |
| D2391 | 328 | 207 | $0.00 | |
| 99203 | 31 | 30 | $0.00 | |
| 99212 | 225 | 205 | $0.00 | |
| D0270 | 169 | 165 | $0.00 | |
| 99442 | 20 | 19 | $0.00 | |
| 99348 | 335 | 246 | $0.00 | |
| 99499 | 81 | 77 | $0.00 | |
| 99173 | 53 | 42 | $0.00 | |
| D4910 | 12 | 12 | $0.00 | |
| 99396 | 12 | 12 | $0.00 | |
| D1354 | 26 | 14 | $0.00 |