NPI: 1699012492 · MANCHESTER, NH 03103 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,276 | $885K |
| 2019 | 12,719 | $900K |
| 2020 | 8,737 | $668K |
| 2021 | 11,024 | $964K |
| 2022 | 12,138 | $1.14M |
| 2023 | 7,889 | $817K |
| 2024 | 7,707 | $940K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 36,512 | 29,571 | $6.26M |
| G0467 | Fqhc visit, estab pt | 2,417 | 1,482 | $28K |
| 90686 | 1,649 | 1,484 | $11K | |
| 99213 | 19,681 | 15,895 | $6K | |
| T1027 | Family training & counseling | 433 | 344 | $5K |
| 99214 | 4,191 | 3,092 | $3K | |
| 59025 | 104 | 45 | $3K | |
| 96110 | 315 | 277 | $915.16 | |
| 90656 | 143 | 131 | $877.19 | |
| 90670 | 120 | 108 | $544.56 | |
| 90460 | 1,884 | 1,648 | $521.13 | |
| 90471 | 1,155 | 1,018 | $406.97 | |
| 99392 | 778 | 706 | $271.80 | |
| G2025 | Dis site tele svcs rhc/fqhc | 17 | 12 | $202.51 |
| 99391 | 860 | 734 | $130.02 | |
| 90648 | 140 | 125 | $109.96 | |
| 90633 | 12 | 12 | $99.00 | |
| 99211 | 416 | 346 | $72.75 | |
| 90461 | 746 | 661 | $55.36 | |
| 99212 | 317 | 274 | $9.18 | |
| G0008 | Admin influenza virus vac | 19 | 14 | $2.21 |
| 90472 | 167 | 148 | $0.00 | |
| 99393 | 136 | 123 | $0.00 | |
| 90832 | 99 | 76 | $0.00 | |
| 90669 | 46 | 41 | $0.00 | |
| 90680 | 27 | 26 | $0.00 | |
| 90723 | 38 | 36 | $0.00 | |
| 90647 | 14 | 13 | $0.00 | |
| 90834 | 54 | 38 | $0.00 |