NPI: 1871840843 · BRISTOL, VT 05443 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,226 | $590K |
| 2019 | 7,362 | $667K |
| 2020 | 6,634 | $626K |
| 2021 | 7,274 | $605K |
| 2022 | 5,125 | $471K |
| 2023 | 5,355 | $522K |
| 2024 | 3,543 | $454K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 22,155 | 16,353 | $3.88M |
| 99214 | 12,435 | 8,904 | $30K | |
| D7140 | 133 | 47 | $10K | |
| D1110 | 163 | 127 | $6K | |
| G0467 | Fqhc visit, estab pt | 255 | 207 | $4K |
| D0140 | 74 | 63 | $2K | |
| D0120 | 130 | 98 | $2K | |
| 99213 | 4,136 | 3,368 | $2K | |
| 90471 | 175 | 168 | $927.04 | |
| D0220 | 65 | 53 | $918.00 | |
| 90460 | 39 | 38 | $454.74 | |
| 0124A | 21 | 21 | $384.00 | |
| 90480 | 43 | 18 | $320.00 | |
| 80305 | 724 | 373 | $77.32 | |
| 90686 | 430 | 410 | $73.84 | |
| 90853 | 62 | 38 | $4.08 | |
| D1330 | 251 | 202 | $0.03 | |
| 91312 | 20 | 20 | $0.00 | |
| 99215 | Prolong outpt/office vis | 15 | 14 | $0.00 |
| 99204 | 33 | 30 | $0.00 | |
| 91320 | 43 | 18 | $0.00 | |
| 90834 | 104 | 53 | $0.00 | |
| 36416 | 13 | 12 | $0.00 |