NPI: 1699882597 · PHILADELPHIA, PA 19149 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,369 | $356K |
| 2019 | 781 | $389K |
| 2020 | 6,545 | $1.22M |
| 2021 | 17,362 | $2.68M |
| 2022 | 22,289 | $3.18M |
| 2023 | 17,485 | $3.05M |
| 2024 | 15,086 | $1.62M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 47,432 | 44,449 | $12.48M |
| 0124A | 71 | 71 | $3K | |
| 0054A | 74 | 73 | $2K | |
| 0064A | 48 | 48 | $2K | |
| 0004A | 20 | 20 | $680.00 | |
| 99213 | 9,617 | 9,253 | $604.34 | |
| 0134A | 13 | 13 | $440.00 | |
| 0071A | 13 | 13 | $364.70 | |
| 0001A | 27 | 27 | $341.64 | |
| 90662 | 18 | 18 | $309.92 | |
| 90686 | 2,608 | 2,601 | $97.19 | |
| 99214 | 1,914 | 1,874 | $54.42 | |
| 99212 | 1,462 | 1,409 | $26.00 | |
| 90471 | 1,238 | 1,222 | $20.00 | |
| 81025 | 1,109 | 1,034 | $4.00 | |
| 97802 | 1,024 | 927 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 700 | 642 | $0.00 |
| D1330 | 203 | 203 | $0.00 | |
| 92551 | 1,661 | 1,604 | $0.00 | |
| 96110 | 14 | 14 | $0.00 | |
| D0120 | 135 | 135 | $0.00 | |
| 90716 | 14 | 12 | $0.00 | |
| 3008F | 696 | 588 | $0.00 | |
| D0140 | 29 | 28 | $0.00 | |
| D1208 | 39 | 39 | $0.00 | |
| 90677 | 42 | 40 | $0.00 | |
| 91301 | 27 | 27 | $0.00 | |
| 0012A | 101 | 101 | $0.00 | |
| D0230 | 31 | 31 | $0.00 | |
| 0011A | 30 | 30 | $0.00 | |
| 90656 | 262 | 262 | $0.00 | |
| 1111F | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| 90651 | 12 | 12 | $0.00 | |
| 0031A | 19 | 19 | $0.00 | |
| 1160F | 30 | 29 | $0.00 | |
| 90461 | 1,207 | 1,152 | $0.00 | |
| 90460 | 5,056 | 4,926 | $0.00 | |
| 99394 | 387 | 364 | $0.00 | |
| 99392 | 980 | 939 | $0.00 | |
| 99173 | 1,975 | 1,902 | $0.00 | |
| 99391 | 230 | 221 | $0.00 | |
| 99396 | 243 | 228 | $0.00 | |
| 99393 | 754 | 721 | $0.00 | |
| 99395 | 13 | 12 | $0.00 | |
| D1110 | 117 | 117 | $0.00 | |
| 90670 | 14 | 14 | $0.00 | |
| 1159F | 30 | 29 | $0.00 | |
| 90648 | 56 | 54 | $0.00 | |
| D1120 | 13 | 13 | $0.00 | |
| D0220 | 52 | 51 | $0.00 | |
| D0274 | 16 | 16 | $0.00 | |
| 90633 | 15 | 13 | $0.00 |