NPI: 1629085592 · WELLSVILLE, NY 14895 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,175 | $92K |
| 2019 | 2,388 | $101K |
| 2020 | 2,375 | $101K |
| 2021 | 2,013 | $94K |
| 2022 | 694 | $37K |
| 2023 | 28 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,369 | 3,863 | $229K | |
| 99391 | 743 | 733 | $54K | |
| 99392 | 642 | 641 | $49K | |
| 99393 | 523 | 523 | $41K | |
| 90471 | 1,583 | 1,579 | $17K | |
| 99394 | 163 | 163 | $14K | |
| 90472 | 793 | 793 | $12K | |
| G9007 | Mccd, sch team conf | 48 | 48 | $5K |
| 99460 | 45 | 45 | $2K | |
| 99211 | 80 | 80 | $1K | |
| 87880 | 221 | 217 | $1K | |
| G0008 | Admin influenza virus vac | 41 | 41 | $615.01 |
| 99238 | 12 | 12 | $534.79 | |
| 90670 | 197 | 197 | $0.00 | |
| 90698 | 78 | 78 | $0.00 | |
| 90744 | 13 | 13 | $0.00 | |
| 91307 | 21 | 17 | $0.00 | |
| 90680 | 39 | 39 | $0.00 | |
| 90686 | 49 | 49 | $0.00 | |
| 90716 | 13 | 13 | $0.00 |