NPI: 1669514352 · WOONSOCKET, RI 02895 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,180 | $34K |
| 2019 | 4,248 | $52K |
| 2020 | 7,839 | $109K |
| 2021 | 28,123 | $561K |
| 2022 | 1,512 | $17K |
| 2023 | 355 | $2K |
| 2024 | 212 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 10,246 | 10,084 | $211K | |
| 0002A | 7,609 | 7,449 | $167K | |
| 90686 | 7,885 | 7,708 | $66K | |
| 0011A | 3,657 | 3,605 | $61K | |
| 90674 | 4,307 | 4,181 | $50K | |
| 0012A | 2,635 | 2,587 | $49K | |
| 0004A | 1,220 | 1,203 | $32K | |
| 90750 | 330 | 316 | $24K | |
| 90715 | 741 | 722 | $19K | |
| 0064A | 926 | 919 | $19K | |
| 90682 | 537 | 535 | $14K | |
| 90662 | 695 | 694 | $13K | |
| 0071A | 330 | 308 | $9K | |
| 90670 | 109 | 109 | $8K | |
| 90756 | 573 | 562 | $7K | |
| 0031A | 410 | 394 | $7K | |
| 0072A | 173 | 164 | $5K | |
| 0054A | 202 | 201 | $3K | |
| 90732 | 98 | 97 | $2K | |
| 90471 | 1,831 | 1,813 | $2K | |
| 0124A | 89 | 85 | $1K | |
| 90734 | 50 | 50 | $1K | |
| 90653 | 53 | 51 | $1K | |
| G0008 | Admin influenza virus vac | 136 | 133 | $690.00 |
| 0052A | 29 | 29 | $640.00 | |
| 90656 | 45 | 45 | $549.69 | |
| 0003A | 32 | 27 | $389.04 | |
| 91300 | 292 | 268 | $360.93 | |
| 0013A | 14 | 14 | $327.10 | |
| 0134A | 48 | 48 | $318.40 | |
| 90661 | 20 | 20 | $198.00 | |
| 90688 | 29 | 29 | $102.05 | |
| 91301 | 89 | 87 | $83.00 | |
| 90472 | 14 | 13 | $6.80 | |
| 90480 | 15 | 15 | $0.00 |