NPI: 1811156409 · PLYMOUTH, NH 03264 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 361 | $20K |
| 2019 | 288 | $1K |
| 2020 | 1,051 | $18K |
| 2021 | 1,347 | $20K |
| 2022 | 379 | $6K |
| 2023 | 509 | $15K |
| 2024 | 59 | $173.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 258 | 227 | $31K |
| G2023 | Specimen collect covid-19 | 1,256 | 948 | $19K |
| 87426 | 614 | 405 | $14K | |
| 80305 | 860 | 623 | $7K | |
| 87428 | 82 | 78 | $4K | |
| 0011A | 48 | 43 | $2K | |
| 0124A | 20 | 20 | $760.00 | |
| 90460 | 175 | 116 | $667.91 | |
| 85025 | 96 | 90 | $578.36 | |
| 80053 | 66 | 60 | $511.87 | |
| 0013A | 16 | 12 | $400.00 | |
| 90686 | 248 | 161 | $144.17 | |
| G0467 | Fqhc visit, estab pt | 21 | 13 | $141.28 |
| 80061 | 13 | 13 | $122.40 | |
| 84443 | 12 | 12 | $94.86 | |
| 83036 | 12 | 12 | $81.09 | |
| 91312 | 21 | 21 | $0.00 | |
| 87811 | 47 | 34 | $0.00 | |
| 91301 | 56 | 49 | $0.00 | |
| 99214 | 48 | 46 | $0.00 | |
| 92551 | 12 | 12 | $0.00 | |
| 99213 | 13 | 12 | $0.00 |