NPI: 1760553838 · ELIZABETH, NJ 07202 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,300 | $27K |
| 2019 | 1,488 | $31K |
| 2020 | 641 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 844 | 807 | $41K | |
| 90460 | 524 | 492 | $8K | |
| 87880 | 496 | 486 | $6K | |
| 94010 | 117 | 117 | $3K | |
| 92567 | 312 | 305 | $2K | |
| 92587 | 74 | 74 | $2K | |
| 93000 | 99 | 99 | $2K | |
| 96110 | 45 | 45 | $1K | |
| S0302 | Completed epsdt | 276 | 275 | $1K |
| 99393 | 27 | 27 | $1K | |
| 90461 | 60 | 59 | $904.00 | |
| 92558 | 218 | 217 | $671.78 | |
| 92588 | 16 | 16 | $640.00 | |
| 99392 | 12 | 12 | $590.00 | |
| 99211 | 25 | 25 | $440.00 | |
| 90674 | 14 | 14 | $161.92 | |
| 36415 | 13 | 13 | $41.78 | |
| 3008F | 257 | 256 | $0.00 |