NPI: 1770547622 · LOWELL, MA 01854 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,150 | $40K |
| 2019 | 55 | $400.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 424 | 364 | $23K | |
| 99391 | 45 | 44 | $4K | |
| 99214 | 28 | 25 | $3K | |
| 90460 | 93 | 58 | $2K | |
| 87880 | 132 | 129 | $2K | |
| 99393 | 13 | 13 | $1K | |
| 92552 | 49 | 48 | $1K | |
| 99392 | 12 | 12 | $1K | |
| S0302 | Completed epsdt | 107 | 103 | $1K |
| 96110 | 99 | 99 | $1K | |
| 87804 | 46 | 42 | $563.31 | |
| 99173 | 36 | 36 | $442.51 | |
| 90472 | 21 | 21 | $373.20 | |
| 90471 | 17 | 16 | $329.46 | |
| 90473 | 13 | 13 | $251.94 | |
| 87807 | 14 | 14 | $170.65 | |
| 90670 | 19 | 19 | $0.00 | |
| 90680 | 18 | 18 | $0.00 | |
| 90698 | 19 | 19 | $0.00 |