NPI: 1619136140 · SLEEPY HOLLOW, NY 10591 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,385 | $774K |
| 2019 | 11,315 | $854K |
| 2020 | 15,906 | $979K |
| 2021 | 19,294 | $1.16M |
| 2022 | 11,958 | $538K |
| 2023 | 9,534 | $461K |
| 2024 | 9,136 | $544K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 37,505 | 24,543 | $3.25M | |
| 90832 | 12,997 | 6,705 | $726K | |
| 99393 | 1,276 | 1,097 | $140K | |
| 99391 | 1,155 | 1,128 | $138K | |
| 99392 | 1,116 | 1,089 | $137K | |
| 99214 | 1,707 | 935 | $119K | |
| 99441 | 1,297 | 1,170 | $117K | |
| D1110 | 3,305 | 1,585 | $88K | |
| 99394 | 699 | 575 | $79K | |
| D2391 | 1,371 | 885 | $71K | |
| D0120 | 4,686 | 1,372 | $61K | |
| 99442 | 611 | 559 | $57K | |
| D0150 | 2,274 | 665 | $44K | |
| 90460 | 2,212 | 2,201 | $43K | |
| 99443 | 542 | 439 | $35K | |
| 99212 | 288 | 215 | $30K | |
| G0008 | Admin influenza virus vac | 1,548 | 1,548 | $28K |
| 90791 | 194 | 166 | $22K | |
| D0210 | 911 | 465 | $20K | |
| D2392 | 348 | 266 | $19K | |
| D0274 | 1,294 | 747 | $17K | |
| D0140 | 428 | 180 | $15K | |
| G0009 | Admin pneumococcal vaccine | 769 | 767 | $14K |
| 90834 | 102 | 95 | $12K | |
| D0230 | 863 | 818 | $5K | |
| 99395 | 69 | 37 | $5K | |
| T2022 | Case management, per month | 59 | 42 | $5K |
| D0330 | 183 | 81 | $4K | |
| D1310 | 317 | 151 | $3K | |
| 99381 | 13 | 13 | $2K | |
| 96110 | 126 | 126 | $2K | |
| 97803 | 28 | 26 | $1K | |
| 87880 | 253 | 250 | $945.10 | |
| 97802 | 25 | 25 | $930.00 | |
| D0220 | 231 | 231 | $860.19 | |
| D1120 | 97 | 93 | $770.39 | |
| 0071A | 18 | 18 | $720.00 | |
| G0467 | Fqhc visit, estab pt | 29 | 14 | $703.16 |
| 85018 | 345 | 344 | $686.00 | |
| 87254 | 72 | 71 | $490.78 | |
| 92551 | 1,553 | 1,552 | $284.45 | |
| 94760 | 2,150 | 2,091 | $244.78 | |
| 0011A | 31 | 31 | $218.27 | |
| 88720 | 34 | 14 | $170.68 | |
| 0012A | 19 | 19 | $92.21 | |
| D0270 | 12 | 12 | $38.01 | |
| D1208 | 13 | 13 | $33.00 | |
| 99173 | 1,763 | 1,762 | $19.03 | |
| 81025 | 32 | 29 | $0.00 | |
| D1330 | 546 | 546 | $0.00 | |
| D1206 | 12 | 12 | $0.00 |