NPI: 1689232597 · PHILADELPHIA, PA 19124 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,214 | $15K |
| 2022 | 4,355 | $67K |
| 2023 | 4,548 | $86K |
| 2024 | 4,120 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,222 | 3,071 | $136K | |
| 99396 | 452 | 433 | $23K | |
| 99213 | 863 | 837 | $19K | |
| 99215 | Prolong outpt/office vis | 129 | 125 | $7K |
| 90471 | 642 | 629 | $6K | |
| 36415 | 1,762 | 1,643 | $4K | |
| 90677 | 26 | 26 | $4K | |
| 3074F | 765 | 736 | $4K | |
| 3078F | 663 | 642 | $3K | |
| 3725F | 870 | 844 | $3K | |
| 99395 | 41 | 40 | $3K | |
| 3079F | 438 | 419 | $2K | |
| 99204 | 16 | 16 | $2K | |
| 3077F | 273 | 269 | $2K | |
| 90682 | 76 | 76 | $976.66 | |
| 3080F | 139 | 137 | $680.00 | |
| 99385 | 12 | 12 | $678.64 | |
| 90686 | 79 | 79 | $618.14 | |
| 90472 | 67 | 66 | $479.40 | |
| 3075F | 64 | 63 | $340.00 | |
| 99203 | 13 | 13 | $337.98 | |
| 93000 | 15 | 15 | $305.23 | |
| 99212 | 14 | 13 | $282.81 | |
| 90656 | 14 | 14 | $230.10 | |
| 3008F | 2,637 | 2,507 | $200.00 | |
| 3044F | 26 | 25 | $120.00 | |
| 3046F | 14 | 14 | $30.00 | |
| 1220F | 702 | 677 | $0.00 | |
| 4010F | 57 | 55 | $0.00 | |
| G0008 | Admin influenza virus vac | 39 | 39 | $0.00 |
| 3061F | 43 | 43 | $0.00 | |
| G9920 | Scrning perf and negative | 52 | 46 | $0.00 |
| 90662 | 12 | 12 | $0.00 |