NPI: 1639731011 · WEST SPRINGFIELD, MA 01089 · 363A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $2K |
| 2020 | 159 | $11K |
| 2021 | 64 | $654.30 |
| 2022 | 1,636 | $73K |
| 2023 | 870 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | 398 | 398 | $48K | |
| 99214 | 342 | 338 | $30K | |
| T1015 | Clinic service | 64 | 63 | $10K |
| 87811 | 169 | 169 | $7K | |
| 87428 | 129 | 129 | $6K | |
| 87651 | 179 | 179 | $5K | |
| 87635 | 88 | 84 | $4K | |
| 87804 | 337 | 169 | $4K | |
| 99203 | 34 | 34 | $3K | |
| 0241U | 12 | 12 | $1K | |
| 99213 | 19 | 19 | $1K | |
| 99396 | 14 | 13 | $1K | |
| 90715 | 21 | 21 | $672.80 | |
| 99051 | 543 | 532 | $612.72 | |
| S0302 | Completed epsdt | 42 | 41 | $380.10 |
| 90471 | 18 | 18 | $368.10 | |
| 90686 | 12 | 12 | $228.36 | |
| S9088 | Services provided in urgent | 320 | 315 | $0.00 |