NPI: 1720181522
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 276 | $2K |
| 2019 | 5,668 | $16K |
| 2020 | 2,159 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,284 | 912 | $15K | |
| 36415 | 984 | 747 | $4K | |
| 99443 | 65 | 50 | $723.18 | |
| 99212 | 54 | 39 | $613.69 | |
| 99393 | 36 | 30 | $482.12 | |
| 99442 | 40 | 36 | $467.94 | |
| 1160F | 735 | 636 | $397.04 | |
| 3008F | 1,015 | 824 | $382.86 | |
| 99394 | 17 | 17 | $226.88 | |
| 1159F | 722 | 623 | $212.70 | |
| 96110 | 450 | 269 | $155.98 | |
| 3016F | 382 | 345 | $113.44 | |
| 4037F | 37 | 30 | $70.90 | |
| G0008 | Admin influenza virus vac | 16 | 12 | $42.54 |
| 3074F | 330 | 286 | $42.54 | |
| 1220F | 76 | 69 | $28.36 | |
| 1036F | 202 | 184 | $28.36 | |
| 1126F | 53 | 52 | $14.18 | |
| 3078F | 310 | 267 | $14.18 | |
| 90460 | 198 | 145 | $14.18 | |
| S0302 | Completed epsdt | 451 | 271 | $0.00 |
| 92551 | 275 | 167 | $0.00 | |
| 90674 | 17 | 13 | $0.00 | |
| 1000F | 27 | 27 | $0.00 | |
| 93000 | 56 | 49 | $0.00 | |
| 99173 | 259 | 162 | $0.00 | |
| 90461 | 12 | 12 | $0.00 |