NPI: 1629348503 · MONTVILLE, NJ 07045 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 553 | $6K |
| 2023 | 7,665 | $262K |
| 2024 | 6,995 | $273K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90651 | 745 | 707 | $179K | |
| 90620 | 350 | 343 | $71K | |
| 90734 | 317 | 309 | $41K | |
| 90716 | 231 | 212 | $31K | |
| 90686 | 1,830 | 1,753 | $31K | |
| 90460 | 4,580 | 4,219 | $28K | |
| 90715 | 530 | 502 | $23K | |
| 90677 | 182 | 148 | $16K | |
| 90471 | 2,456 | 2,161 | $15K | |
| 90707 | 202 | 176 | $15K | |
| 90746 | 222 | 218 | $14K | |
| 90619 | 89 | 81 | $13K | |
| 90633 | 288 | 272 | $10K | |
| 90670 | 45 | 44 | $9K | |
| 90682 | 216 | 178 | $7K | |
| 90674 | 239 | 218 | $6K | |
| 90656 | 384 | 374 | $6K | |
| 91320 | 60 | 51 | $6K | |
| 90750 | 37 | 31 | $5K | |
| 90696 | 91 | 84 | $5K | |
| 90661 | 238 | 215 | $4K | |
| 90480 | 79 | 76 | $2K | |
| 90700 | 68 | 64 | $2K | |
| 90461 | 1,046 | 927 | $1K | |
| 90662 | 81 | 81 | $731.19 | |
| 90694 | 36 | 31 | $319.18 | |
| 90672 | 13 | 12 | $285.00 | |
| 90472 | 127 | 112 | $269.10 | |
| 90648 | 14 | 12 | $168.34 | |
| G0008 | Admin influenza virus vac | 380 | 367 | $78.36 |
| G0009 | Admin pneumococcal vaccine | 37 | 37 | $0.00 |