NPI: 1659330496 · DORCHESTER, MA 02125 · 261QC1500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 33,760 | $712K |
| 2019 | 30,539 | $724K |
| 2020 | 17,300 | $279K |
| 2021 | 12,941 | $250K |
| 2022 | 12,168 | $638K |
| 2023 | 12,669 | $600K |
| 2024 | 8,594 | $415K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9450 | 43,009 | 22,935 | $1.07M | |
| T1015 | Clinic service | 1,938 | 1,743 | $321K |
| 90834 | 3,229 | 1,943 | $247K | |
| T1040 | Comm bh clinic svc per diem | 1,556 | 625 | $215K |
| D0140 | 9,168 | 5,111 | $196K | |
| D1110 | 7,898 | 5,659 | $181K | |
| D2392 | 4,857 | 2,697 | $147K | |
| D7140 | 3,582 | 1,066 | $141K | |
| D0210 | 4,259 | 3,019 | $126K | |
| D2391 | 4,794 | 2,315 | $109K | |
| D0330 | 2,934 | 1,696 | $105K | |
| 90832 | 2,129 | 1,776 | $93K | |
| 99213 | 1,796 | 1,618 | $79K | |
| D0274 | 4,785 | 3,382 | $76K | |
| D0120 | 7,114 | 5,066 | $76K | |
| D0220 | 6,711 | 3,722 | $55K | |
| D7210 | 462 | 205 | $47K | |
| D0150 | 3,470 | 2,366 | $45K | |
| D9110 | 1,383 | 845 | $33K | |
| D2393 | 901 | 576 | $29K | |
| D2331 | 837 | 375 | $25K | |
| D0180 | 1,738 | 1,017 | $24K | |
| 90791 | 178 | 175 | $23K | |
| G0467 | Fqhc visit, estab pt | 635 | 520 | $23K |
| D1206 | 810 | 762 | $19K | |
| D3330 | 38 | 37 | $16K | |
| D2330 | 618 | 236 | $16K | |
| D1120 | 248 | 241 | $12K | |
| G0469 | Fqhc visit, mh new pt | 84 | 84 | $11K |
| D0270 | 1,826 | 1,278 | $11K | |
| 99050 | 209 | 201 | $11K | |
| 90833 | 324 | 298 | $10K | |
| D3320 | 45 | 36 | $10K | |
| G0470 | Fqhc visit, mh estab pt | 218 | 144 | $8K |
| D0230 | 368 | 139 | $2K | |
| 99212 | 48 | 46 | $2K | |
| D2332 | 42 | 25 | $1K | |
| D2150 | 46 | 27 | $1K | |
| U0002 | Covid-19 lab test non-cdc | 17 | 17 | $872.27 |
| D2335 | 21 | 13 | $855.00 | |
| G2023 | Specimen collect covid-19 | 17 | 17 | $398.82 |
| 99214 | 155 | 145 | $346.79 | |
| D0272 | 17 | 13 | $328.00 | |
| 92015 | 28 | 28 | $312.22 | |
| 90471 | 71 | 70 | $230.92 | |
| 90686 | 13 | 13 | $190.30 | |
| D4341 | 1,730 | 196 | $125.00 | |
| D0350 | 85 | 44 | $0.00 | |
| D0460 | 57 | 43 | $0.00 | |
| D9995 | 1,438 | 789 | $0.00 | |
| 90674 | 21 | 21 | $0.00 | |
| 91301 | 14 | 12 | $0.00 |