NPI: 1659331866
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 315 | $37K |
| 2019 | 155 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X4011 | State-specific procedure code | 80 | 79 | $39K |
| Y7506 | 38 | 38 | $16K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 161 | 88 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 134 | 131 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 14 | 12 | $2K |
| 87081 | 43 | 43 | $363.05 |