NPI: 1871166389 · BRONX, NY 10458 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 635 | $5K |
| 2023 | 120 | $4K |
| 2024 | 1,092 | $229K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4238 | Adju cgm supply allowance | 791 | 789 | $206K |
| A4239 | Non-adju cgm supply allow | 421 | 420 | $27K |
| 87635 | 143 | 135 | $3K | |
| U0002 | Covid-19 lab test non-cdc | 42 | 41 | $2K |
| 87426 | 22 | 22 | $646.80 | |
| G2023 | Specimen collect covid-19 | 126 | 117 | $125.51 |
| 99211 | 102 | 94 | $53.99 | |
| U0001 | 2019-ncov diagnostic p | 79 | 74 | $30.53 |
| 99212 | 43 | 43 | $15.26 | |
| 99051 | 35 | 34 | $7.00 | |
| 99000 | 43 | 43 | $0.00 |