NPI: 1669965521 · HARRISBURG, PA 17112 · 1223X0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 143 | $18K |
| 2020 | 3,591 | $368K |
| 2021 | 17,494 | $1.83M |
| 2022 | 57 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | 6,767 | 6,556 | $1.29M | |
| D8080 | 1,066 | 997 | $463K | |
| D8660 | 2,549 | 2,527 | $129K | |
| D1120 | 1,663 | 1,662 | $52K | |
| D2930 | 480 | 132 | $51K | |
| D1206 | 2,096 | 2,094 | $41K | |
| D0120 | 1,570 | 1,570 | $37K | |
| D9230 | 530 | 492 | $25K | |
| D7140 | 287 | 125 | $21K | |
| D2392 | 290 | 216 | $19K | |
| D2933 | 83 | 31 | $14K | |
| D0150 | 460 | 460 | $12K | |
| D3220 | 126 | 56 | $11K | |
| D0210 | 223 | 223 | $11K | |
| D0274 | 326 | 326 | $10K | |
| D2391 | 155 | 113 | $9K | |
| D1110 | 201 | 201 | $8K | |
| D0272 | 261 | 261 | $5K | |
| D1330 | 822 | 822 | $4K | |
| D1351 | 132 | 42 | $3K | |
| D0240 | 140 | 140 | $3K | |
| D0602 | 358 | 358 | $3K | |
| D0603 | 355 | 355 | $2K | |
| D0140 | 29 | 28 | $1K | |
| D0220 | 149 | 144 | $1K | |
| D0340 | 14 | 14 | $817.18 | |
| D0470 | 14 | 14 | $770.00 | |
| D0230 | 42 | 42 | $712.40 | |
| D0330 | 14 | 14 | $608.52 | |
| D0601 | 53 | 53 | $510.00 | |
| D0350 | 14 | 14 | $325.00 | |
| D0270 | 16 | 16 | $148.00 |