NPI: 1629033949 · SPRINGFIELD, MA 01103 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,006 | $241K |
| 2019 | 4,520 | $386K |
| 2020 | 8,692 | $746K |
| 2021 | 12,590 | $958K |
| 2022 | 11,643 | $958K |
| 2023 | 2,432 | $239K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 15,975 | 14,180 | $2.77M |
| G2023 | Specimen collect covid-19 | 5,510 | 5,102 | $205K |
| 87635 | 2,692 | 2,529 | $138K | |
| 87502 | 891 | 881 | $74K | |
| 87426 | 1,917 | 1,773 | $67K | |
| 97803 | 1,721 | 1,553 | $40K | |
| 90471 | 1,725 | 1,712 | $35K | |
| 90460 | 679 | 676 | $23K | |
| 87651 | 690 | 686 | $22K | |
| 90686 | 1,591 | 1,588 | $21K | |
| 99396 | 231 | 231 | $17K | |
| 80305 | 1,827 | 1,008 | $16K | |
| 99395 | 81 | 81 | $16K | |
| 96372 | 801 | 768 | $14K | |
| 90750 | 127 | 127 | $11K | |
| 97802 | 388 | 388 | $11K | |
| 87634 | 172 | 171 | $11K | |
| 90746 | 155 | 155 | $10K | |
| S0302 | Completed epsdt | 659 | 659 | $6K |
| 90739 | 58 | 58 | $6K | |
| 90670 | 14 | 14 | $3K | |
| 82947 | 689 | 630 | $3K | |
| 0011A | 98 | 98 | $2K | |
| 90651 | 27 | 27 | $2K | |
| 90715 | 70 | 70 | $2K | |
| 0001A | 26 | 26 | $1K | |
| 0064A | 24 | 24 | $1K | |
| 86580 | 149 | 146 | $950.62 | |
| 90472 | 47 | 47 | $541.20 | |
| 81025 | 81 | 81 | $515.16 | |
| 83036 | 53 | 53 | $465.98 | |
| 97804 | 30 | 28 | $358.50 | |
| 87804 | 22 | 22 | $269.06 | |
| 81002 | 91 | 91 | $240.12 | |
| 87880 | 16 | 16 | $195.36 | |
| 91301 | 847 | 828 | $0.05 | |
| 91313 | 81 | 81 | $0.00 | |
| 91312 | 146 | 146 | $0.00 | |
| 91300 | 1,099 | 1,047 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| 91307 | 152 | 148 | $0.00 | |
| 91306 | 219 | 218 | $0.00 |