NPI: 1619467826 · GLASTONBURY, CT 06033 · Internal Medicine Physician · NPI assigned 05/14/2018
| Authorized Official | BANSAL, SUDEEP (OWNER) |
| NPI Enumeration Date | 05/14/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 139 | $5K |
| 2020 | 199 | $4K |
| 2021 | 733 | $19K |
| 2022 | 862 | $11K |
| 2023 | 1,407 | $30K |
| 2024 | 512 | $22K |
| Code | Description | Claims | Beneficiaries | 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 |