NPI: 1740221597
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 985 | $48K |
| 2019 | 1,123 | $58K |
| 2020 | 207 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,152 | 923 | $79K | |
| 99213 | 467 | 336 | $24K | |
| 99212 | 133 | 83 | $4K | |
| 99490 | Ccm add 20min | 148 | 139 | $4K |
| 99215 | Prolong outpt/office vis | 16 | 15 | $2K |
| G0108 | Diab manage trn per indiv | 29 | 27 | $958.75 |
| 99401 | 109 | 100 | $771.37 | |
| 99407 | 45 | 42 | $563.73 | |
| 90674 | 13 | 13 | $294.62 | |
| Q2035 | Afluria vacc, 3 yrs & >, im | 26 | 25 | $201.98 |
| 94762 | 17 | 14 | $94.08 | |
| 90471 | 14 | 14 | $87.60 | |
| 90688 | 38 | 37 | $71.36 | |
| 99403 | 108 | 102 | $0.00 |