NPI: 1871796961 · TORRINGTON, CT 06790 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 7,202 | $291K |
| 2022 | 5,271 | $658K |
| 2023 | 1,985 | $293K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 5,197 | 4,661 | $1.05M |
| 0012A | 962 | 962 | $41K | |
| 0011A | 846 | 845 | $30K | |
| 97803 | 1,145 | 1,103 | $29K | |
| 0001A | 397 | 397 | $18K | |
| 0002A | 382 | 382 | $18K | |
| 99395 | 66 | 66 | $15K | |
| 97802 | 281 | 281 | $8K | |
| 90471 | 370 | 369 | $8K | |
| 90686 | 370 | 368 | $6K | |
| 99396 | 55 | 55 | $4K | |
| S0302 | Completed epsdt | 284 | 283 | $3K |
| 90460 | 76 | 76 | $2K | |
| 82947 | 406 | 401 | $1K | |
| 90750 | 13 | 13 | $1K | |
| 0064A | 25 | 25 | $1K | |
| 0004A | 25 | 25 | $1K | |
| 90715 | 24 | 24 | $825.00 | |
| 0134A | 12 | 12 | $550.44 | |
| 0071A | 12 | 12 | $550.44 | |
| 0124A | 12 | 12 | $550.44 | |
| 90472 | 27 | 27 | $305.04 | |
| 96372 | 14 | 12 | $155.82 | |
| 91301 | 1,853 | 1,845 | $0.03 | |
| 91307 | 157 | 154 | $0.00 | |
| 91306 | 161 | 161 | $0.00 | |
| 91312 | 88 | 88 | $0.00 | |
| 91300 | 1,139 | 1,065 | $0.00 | |
| 91313 | 59 | 59 | $0.00 |