AVANTA CLINIC LLC
NPI: 1619467826
· GLASTONBURY, CT 06033
· Internal Medicine Physician
· NPI assigned 05/14/2018
3,245
Beneficiary Records
Provider Details
| Authorized Official | BANSAL, SUDEEP (OWNER) |
| NPI Enumeration Date | 05/14/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
139 |
$5K |
| 2020 |
199 |
$4K |
| 2021 |
733 |
$19K |
| 2022 |
862 |
$11K |
| 2023 |
1,407 |
$30K |
| 2024 |
512 |
$22K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,025 |
890 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
212 |
$11K |
| 99307 |
|
376 |
230 |
$4K |
| 99305 |
|
70 |
58 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$948.16 |
| 91322 |
|
16 |
13 |
$729.60 |
| 90674 |
|
36 |
32 |
$710.16 |
| 90756 |
|
29 |
25 |
$533.20 |
| 93000 |
|
43 |
39 |
$472.93 |
| 90480 |
|
13 |
12 |
$120.00 |
| 1160F |
|
431 |
370 |
$0.00 |
| 3078F |
|
51 |
48 |
$0.00 |
| 1159F |
|
415 |
356 |
$0.00 |
| 1036F |
|
467 |
386 |
$0.00 |
| 3074F |
|
184 |
167 |
$0.00 |
| 3008F |
|
362 |
316 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 3079F |
|
74 |
66 |
$0.00 |