NPI: 1891328563 · GAITHERSBURG, MD 20877 · 101Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 937 | $9K |
| 2022 | 1,753 | $7K |
| 2023 | 792 | $11K |
| 2024 | 1,689 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 659 | 582 | $14K | |
| 97110 | 1,078 | 334 | $10K | |
| 99490 | Ccm add 20min | 511 | 504 | $9K |
| 97530 | 589 | 175 | $3K | |
| 97140 | 576 | 168 | $1K | |
| 0002A | 36 | 30 | $1K | |
| 0001A | 36 | 30 | $1K | |
| 0012A | 44 | 35 | $1K | |
| 97112 | 255 | 92 | $982.67 | |
| 0004A | 22 | 21 | $844.44 | |
| 0011A | 39 | 31 | $793.88 | |
| 0072A | 18 | 18 | $680.08 | |
| 0071A | 18 | 18 | $640.08 | |
| 0064A | 19 | 15 | $360.00 | |
| 97010 | 39 | 14 | $241.88 | |
| 99214 | 13 | 13 | $215.82 | |
| 90694 | 239 | 139 | $153.65 | |
| 90662 | 45 | 26 | $130.52 | |
| G0008 | Admin influenza virus vac | 337 | 180 | $128.28 |
| 90471 | 48 | 48 | $105.18 | |
| 97162 | 12 | 12 | $86.90 | |
| 99211 | 372 | 220 | $8.08 | |
| 90653 | 99 | 61 | $0.00 | |
| 91300 | 21 | 21 | $0.00 | |
| 91307 | 46 | 44 | $0.00 |