NPI: 1770142945 · WORCESTER, MA 01655 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 264 | $3K |
| 2019 | 1,755 | $27K |
| 2020 | 1,675 | $24K |
| 2021 | 97,430 | $2.88M |
| 2022 | 2,690 | $63K |
| 2023 | 2,622 | $65K |
| 2024 | 1,674 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 22,124 | 22,121 | $831K | |
| 0001A | 23,480 | 23,419 | $796K | |
| 0012A | 13,936 | 13,933 | $566K | |
| 0011A | 13,937 | 13,930 | $493K | |
| 0031A | 2,148 | 2,148 | $93K | |
| 90471 | 4,064 | 4,038 | $84K | |
| 0071A | 1,274 | 1,274 | $34K | |
| 0004A | 1,009 | 1,009 | $32K | |
| 0064A | 706 | 706 | $22K | |
| 0072A | 811 | 811 | $20K | |
| 91322 | 199 | 199 | $17K | |
| 90686 | 1,733 | 1,732 | $15K | |
| 90480 | 422 | 421 | $14K | |
| 0124A | 305 | 305 | $13K | |
| 91320 | 136 | 136 | $11K | |
| 90662 | 506 | 506 | $7K | |
| 90472 | 636 | 300 | $6K | |
| 90688 | 531 | 531 | $6K | |
| 0134A | 137 | 137 | $4K | |
| G0008 | Admin influenza virus vac | 621 | 621 | $3K |
| 90473 | 118 | 118 | $2K | |
| 0003A | 65 | 65 | $2K | |
| 0054A | 69 | 69 | $2K | |
| 90674 | 124 | 124 | $2K | |
| 0013A | 50 | 50 | $2K | |
| 0154A | 26 | 26 | $1K | |
| 90682 | 25 | 25 | $1K | |
| 0034A | 33 | 33 | $1K | |
| 0074A | 13 | 13 | $298.22 | |
| 90661 | 34 | 34 | $257.85 | |
| 90656 | 20 | 20 | $205.44 | |
| 90658 | 13 | 13 | $124.14 | |
| 90756 | 13 | 13 | $113.44 | |
| 90672 | 38 | 38 | $62.15 | |
| 90744 | 40 | 40 | $0.00 | |
| 90716 | 114 | 111 | $0.00 | |
| 91301 | 8,306 | 8,143 | $0.00 | |
| 91307 | 14 | 14 | $0.00 | |
| 91303 | 634 | 634 | $0.00 | |
| 91300 | 9,406 | 7,903 | $0.00 | |
| 90715 | 38 | 38 | $0.00 | |
| 90713 | 70 | 70 | $0.00 | |
| 91312 | 82 | 82 | $0.00 | |
| 91313 | 25 | 25 | $0.00 | |
| 90707 | 25 | 25 | $0.00 |