NPI: 1760633580 · PHILADELPHIA, PA 19148 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 867 | $16K |
| 2021 | 3,541 | $47K |
| 2022 | 3,098 | $51K |
| 2023 | 2,071 | $44K |
| 2024 | 1,715 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,609 | 2,473 | $103K | |
| 99213 | 1,209 | 1,086 | $34K | |
| Q3014 | Telehealth facility fee | 787 | 701 | $9K |
| 99401 | 862 | 828 | $9K | |
| 99308 | 776 | 560 | $6K | |
| 99212 | 157 | 142 | $4K | |
| 99396 | 108 | 107 | $2K | |
| 3074F | 678 | 656 | $2K | |
| 3008F | 432 | 410 | $2K | |
| 99211 | 107 | 100 | $2K | |
| 3078F | 593 | 574 | $2K | |
| 99215 | Prolong outpt/office vis | 29 | 28 | $1K |
| 99203 | 27 | 27 | $1K | |
| 99309 | 51 | 48 | $1K | |
| 3725F | 132 | 121 | $1K | |
| 90688 | 86 | 85 | $834.19 | |
| 96160 | 258 | 250 | $804.50 | |
| 96127 | 209 | 200 | $751.82 | |
| 4010F | 92 | 81 | $470.00 | |
| 3079F | 99 | 94 | $290.00 | |
| 99406 | 55 | 50 | $254.84 | |
| G2211 | Complex e/m visit add on | 101 | 89 | $182.22 |
| 90682 | 13 | 13 | $152.26 | |
| 3077F | 32 | 29 | $80.00 | |
| 36415 | 41 | 40 | $55.00 | |
| 99349 | 26 | 26 | $32.55 | |
| G0008 | Admin influenza virus vac | 59 | 59 | $10.50 |
| 1126F | 104 | 97 | $0.00 | |
| 0001F | 204 | 191 | $0.00 | |
| 1036F | 254 | 233 | $0.00 | |
| 1125F | 84 | 72 | $0.00 | |
| 99056 | 123 | 120 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 321 | 304 | $0.00 |
| 1160F | 259 | 242 | $0.00 | |
| 1159F | 260 | 243 | $0.00 | |
| 4004F | 12 | 12 | $0.00 | |
| 0521F | 12 | 12 | $0.00 | |
| 90662 | 12 | 12 | $0.00 | |
| 4013F | 19 | 18 | $0.00 |