NPI: 1659938538 · WILLIAMSPORT, PA 17701 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 529 | $17K |
| 2021 | 3,053 | $92K |
| 2022 | 3,224 | $99K |
| 2023 | 2,503 | $83K |
| 2024 | 116 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | 813 | 810 | $66K | |
| 99391 | 680 | 657 | $48K | |
| 99393 | 502 | 502 | $40K | |
| 99213 | 1,036 | 1,002 | $39K | |
| 99214 | 650 | 631 | $38K | |
| 99394 | 346 | 345 | $29K | |
| T1015 | Clinic service | 54 | 49 | $11K |
| 87804 | 443 | 216 | $5K | |
| 87426 | 122 | 121 | $4K | |
| G0008 | Admin influenza virus vac | 296 | 296 | $3K |
| 99460 | 73 | 73 | $3K | |
| 99212 | 92 | 91 | $3K | |
| 87811 | 183 | 180 | $2K | |
| 99173 | 640 | 638 | $2K | |
| 92551 | 634 | 634 | $1K | |
| 96161 | 373 | 370 | $1K | |
| 99238 | 25 | 25 | $1K | |
| 90698 | 281 | 280 | $1K | |
| 90670 | 427 | 423 | $869.00 | |
| 96110 | 453 | 445 | $504.02 | |
| 90744 | 26 | 26 | $154.00 | |
| 90651 | 40 | 40 | $143.00 | |
| 87880 | 19 | 18 | $140.42 | |
| 90680 | 164 | 164 | $132.00 | |
| 90633 | 83 | 83 | $132.00 | |
| 90734 | 26 | 26 | $132.00 | |
| 96127 | 294 | 294 | $96.80 | |
| 96160 | 420 | 420 | $38.30 | |
| 85018 | 13 | 13 | $10.29 | |
| 90686 | 36 | 36 | $0.00 | |
| 90716 | 12 | 12 | $0.00 | |
| 90619 | 38 | 38 | $0.00 | |
| 3074F | 31 | 29 | $0.00 | |
| 90697 | 16 | 16 | $0.00 | |
| 3078F | 31 | 29 | $0.00 | |
| 83655 | 41 | 41 | $0.00 | |
| 90707 | 12 | 12 | $0.00 |