NPI: 1841253937 · RICES LANDING, PA 15357 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,729 | $88K |
| 2021 | 4,839 | $218K |
| 2022 | 1,448 | $62K |
| 2023 | 640 | $26K |
| 2024 | 206 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,705 | 1,340 | $82K | |
| 87426 | 2,225 | 2,019 | $77K | |
| 99204 | 757 | 745 | $51K | |
| 99203 | 1,020 | 1,009 | $40K | |
| 99213 | 1,110 | 952 | $36K | |
| 0241U | 339 | 323 | $31K | |
| M0247 | Sotrovimab infusion | 73 | 69 | $21K |
| M0243 | Casirivi and imdevi inj | 50 | 49 | $17K |
| 96365 | 212 | 186 | $8K | |
| 87631 | 36 | 35 | $5K | |
| 96374 | 176 | 124 | $5K | |
| M0245 | Bamlan and etesev infusion | 74 | 73 | $4K |
| 87275 | 266 | 260 | $3K | |
| 87798 | 65 | 37 | $3K | |
| 80053 | 253 | 242 | $3K | |
| 87635 | 69 | 44 | $2K | |
| 99202 | 57 | 57 | $2K | |
| 84443 | 102 | 102 | $2K | |
| 36000 | 236 | 222 | $2K | |
| 85025 | 265 | 249 | $2K | |
| 87428 | 26 | 26 | $1K | |
| 99211 | 55 | 54 | $1K | |
| 82306 | 25 | 25 | $1K | |
| 96375 | 55 | 51 | $693.28 | |
| 80061 | 40 | 40 | $585.20 | |
| 96372 | 38 | 27 | $448.18 | |
| 99212 | 15 | 13 | $419.20 | |
| 83036 | 57 | 57 | $392.70 | |
| 36415 | 15 | 12 | $26.25 | |
| J7050 | Normal saline solution infus | 233 | 210 | $8.71 |
| J1200 | Diphenhydramine hcl injectio | 19 | 18 | $5.10 |
| J2405 | Ondansetron hcl injection | 19 | 18 | $1.80 |
| Q0243 | Casirivimab and imdevimab | 41 | 40 | $0.35 |
| Q0245 | Bamlanivimab and etesevima | 69 | 69 | $0.02 |
| Q0247 | Sotrovimab | 65 | 61 | $0.00 |