NPI: 1710229539 · NEW YORK, NY 10013 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 104 | $3K |
| 2020 | 1,301 | $45K |
| 2021 | 3,463 | $108K |
| 2022 | 3,475 | $136K |
| 2023 | 2,813 | $94K |
| 2024 | 3,224 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74183 | 1,247 | 1,242 | $134K | |
| 71250 | 2,225 | 2,219 | $105K | |
| 76700 | 2,433 | 2,431 | $102K | |
| 76536 | 1,145 | 1,145 | $45K | |
| 74178 | 485 | 484 | $41K | |
| 71046 | 1,908 | 1,906 | $26K | |
| 73562 | 1,144 | 728 | $18K | |
| 72110 | 587 | 584 | $11K | |
| 93976 | 167 | 167 | $9K | |
| 76775 | 513 | 513 | $8K | |
| 78815 | 13 | 13 | $5K | |
| 72050 | 209 | 209 | $4K | |
| A9576 | Inj prohance multipack | 1,012 | 1,008 | $4K |
| 76770 | 74 | 74 | $3K | |
| 74170 | 41 | 41 | $3K | |
| 71260 | 58 | 58 | $2K | |
| 73630 | 155 | 111 | $2K | |
| 74177 | 26 | 26 | $2K | |
| 72197 | 25 | 25 | $2K | |
| 76856 | 40 | 39 | $1K | |
| 76705 | 32 | 32 | $1K | |
| A9552 | F18 fdg | 15 | 15 | $1K |
| 70450 | 36 | 36 | $898.50 | |
| 76857 | 38 | 38 | $571.00 | |
| 70551 | 12 | 12 | $544.56 | |
| 74176 | 13 | 13 | $527.87 | |
| 73030 | 36 | 30 | $319.40 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 291 | 291 | $141.21 |
| A9581 | Gadoxetate disodium inj | 69 | 69 | $0.00 |
| 99072 | 331 | 329 | $0.00 |