NPI: 1891824868 · LONGMEADOW, MA 01106 · Pediatrics Physician · NPI assigned 03/05/2007
| Authorized Official | LEAVITT, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 03/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 176 | $8K |
| 2019 | 300 | $13K |
| 2020 | 156 | $5K |
| 2021 | 104 | $5K |
| 2022 | 250 | $12K |
| 2023 | 265 | $11K |
| 2024 | 97 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 897 | 795 | $55K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 149 | 144 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 146 | 128 | $1K |
| 96127 | 41 | 36 | $240.66 | |
| 99072 | 42 | 41 | $0.00 | |
| 90686 | 73 | 72 | $0.00 |