NPI: 1750472908 · WALTERBORO, SC 29488 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 795 | $40K |
| 2020 | 408 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 571 | 434 | $92K | |
| 99214 | 185 | 136 | $23K | |
| 99212 | 32 | 14 | $3K | |
| 99391 | 22 | 14 | $2K | |
| 99393 | 16 | 13 | $1K | |
| 90460 | 57 | 57 | $254.72 | |
| 85018 | 68 | 68 | $24.60 | |
| 96110 | 19 | 19 | $0.00 | |
| 90656 | 16 | 16 | $0.00 | |
| 92551 | 17 | 17 | $0.00 | |
| G8483 | Flu imm no admin doc rea | 42 | 39 | $0.00 |
| 81002 | 14 | 14 | $0.00 | |
| 99173 | 29 | 29 | $0.00 | |
| G8482 | Flu immunize order/admin | 67 | 61 | $0.00 |
| 99203 | 15 | 15 | $0.00 | |
| 90461 | 16 | 16 | $0.00 | |
| 87804 | 17 | 16 | $0.00 |