NPI: 1699718031 · WILKES BARRE, PA 18702 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,756 | $151K |
| 2021 | 26,803 | $684K |
| 2022 | 16,864 | $431K |
| 2023 | 114 | $4K |
| 2024 | 39 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90750 | 3,382 | 3,380 | $544K | |
| G0008 | Admin influenza virus vac | 17,119 | 17,101 | $177K |
| 90686 | 11,236 | 11,225 | $118K | |
| 90732 | 634 | 634 | $66K | |
| 90674 | 4,178 | 4,177 | $44K | |
| 0001A | 979 | 965 | $33K | |
| 90471 | 3,190 | 3,188 | $33K | |
| 0011A | 965 | 964 | $30K | |
| 0012A | 761 | 760 | $27K | |
| 0002A | 739 | 737 | $26K | |
| 0064A | 777 | 777 | $26K | |
| 0124A | 586 | 586 | $22K | |
| 0003A | 475 | 475 | $17K | |
| 0004A | 489 | 488 | $17K | |
| 0013A | 473 | 473 | $16K | |
| 99213 | 362 | 349 | $12K | |
| 0031A | 286 | 286 | $10K | |
| 0054A | 272 | 272 | $9K | |
| 90688 | 778 | 777 | $8K | |
| 90746 | 110 | 110 | $7K | |
| G0009 | Admin pneumococcal vaccine | 720 | 720 | $7K |
| 0072A | 99 | 97 | $4K | |
| 99214 | 60 | 60 | $3K | |
| 90670 | 18 | 18 | $3K | |
| 0134A | 71 | 71 | $3K | |
| 0071A | 78 | 77 | $3K | |
| 99395 | 72 | 72 | $2K | |
| 90694 | 307 | 307 | $1K | |
| 76816 | 14 | 13 | $1K | |
| 90682 | 18 | 18 | $830.85 | |
| 0034A | 17 | 17 | $528.00 | |
| 99212 | 12 | 12 | $298.79 | |
| 0502F | 299 | 256 | $0.00 |