NPI: 1861439705 · NEWPORT, RI 02840 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,177 | $742K |
| 2019 | 19,179 | $940K |
| 2020 | 3,093 | $120K |
| 2021 | 3,389 | $119K |
| 2022 | 1,397 | $56K |
| 2024 | 536 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 5,969 | 4,728 | $663K |
| H0037 | Comm psy sup tx pgm per diem | 1,112 | 955 | $418K |
| H0040 | Assert comm tx pgm per diem | 352 | 308 | $408K |
| 99213 | 6,586 | 5,730 | $291K | |
| 99214 | 2,475 | 2,283 | $123K | |
| 99212 | 1,120 | 1,031 | $32K | |
| 99396 | 176 | 175 | $12K | |
| 90460 | 913 | 827 | $7K | |
| 90471 | 850 | 708 | $7K | |
| H0036 | Comm psy face-face per 15min | 5,413 | 1,133 | $6K |
| 99395 | 81 | 81 | $5K | |
| 99393 | 67 | 67 | $4K | |
| 0012A | 76 | 76 | $3K | |
| 99211 | 253 | 190 | $3K | |
| 0011A | 73 | 71 | $2K | |
| 99201 | 90 | 84 | $2K | |
| 0003A | 47 | 37 | $2K | |
| 0001A | 46 | 46 | $2K | |
| 0031A | 48 | 48 | $1K | |
| 0002A | 30 | 29 | $1K | |
| 90461 | 360 | 340 | $1K | |
| 99202 | 28 | 27 | $1K | |
| 99392 | 17 | 17 | $945.37 | |
| 80305 | 137 | 129 | $860.36 | |
| 82962 | 429 | 397 | $589.10 | |
| 0013A | 14 | 14 | $582.82 | |
| 83036 | 89 | 89 | $456.57 | |
| 81002 | 74 | 70 | $171.68 | |
| 81025 | 40 | 40 | $148.40 | |
| 96372 | 15 | 12 | $117.75 | |
| 86703 | 13 | 13 | $104.65 | |
| 90472 | 12 | 12 | $96.00 | |
| 90686 | 1,097 | 752 | $76.79 | |
| 90685 | 43 | 29 | $3.01 | |
| 90674 | 30 | 30 | $2.10 | |
| 90715 | 27 | 27 | $1.89 | |
| D1110 | 1,063 | 914 | $0.00 | |
| D0274 | 960 | 813 | $0.00 | |
| D0220 | 585 | 511 | $0.00 | |
| D1120 | 833 | 678 | $0.00 | |
| H0046 | Mental health service, nos | 6,034 | 1,088 | $0.00 |
| DS001 | 161 | 95 | $0.00 | |
| D2940 | 54 | 40 | $0.00 | |
| D0270 | 12 | 12 | $0.00 | |
| D2391 | 42 | 27 | $0.00 | |
| D0603 | 187 | 176 | $0.00 | |
| D0150 | 381 | 357 | $0.00 | |
| D0024 | 431 | 378 | $0.00 | |
| D1208 | 1,051 | 863 | $0.00 | |
| D0210 | 102 | 99 | $0.00 | |
| D0120 | 1,191 | 1,019 | $0.00 | |
| D0140 | 394 | 379 | $0.00 | |
| D0602 | 200 | 190 | $0.00 | |
| D1351 | 479 | 140 | $0.00 | |
| D2392 | 116 | 92 | $0.00 | |
| D7140 | 221 | 117 | $0.00 | |
| D0601 | 21 | 21 | $0.00 | |
| D0272 | 51 | 51 | $0.00 |