NPI: 1609145408 · BROOKSVILLE, FL 34601 · 314000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 34 | $0.00 |
| 2019 | 4,193 | $131K |
| 2020 | 8,457 | $248K |
| 2021 | 2,466 | $71K |
| 2022 | 351 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97110 | 5,227 | 370 | $177K | |
| 97530 | 4,341 | 365 | $123K | |
| 97112 | 3,634 | 297 | $94K | |
| 97535 | 1,414 | 156 | $40K | |
| 97150 | 390 | 27 | $16K | |
| 97161 | 19 | 12 | $562.36 | |
| 97166 | 19 | 13 | $281.18 | |
| 97162 | 27 | 15 | $143.51 | |
| 97116 | 173 | 13 | $0.00 | |
| 90662 | 41 | 26 | $0.00 | |
| 90653 | 47 | 32 | $0.00 | |
| G0008 | Admin influenza virus vac | 126 | 93 | $0.00 |
| 90674 | 16 | 16 | $0.00 | |
| 90688 | 27 | 19 | $0.00 |