NPI: 1902954449 · DORCHESTER, MA 02121 · 3336C0002X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 48,035 | $2.14M |
| 2019 | 51,407 | $2.23M |
| 2020 | 42,947 | $2.14M |
| 2021 | 54,029 | $2.53M |
| 2022 | 58,318 | $3.75M |
| 2023 | 64,586 | $2.97M |
| 2024 | 51,046 | $2.37M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 57,538 | 49,039 | $9.30M |
| D9450 | 68,926 | 33,253 | $1.79M | |
| T1040 | Comm bh clinic svc per diem | 8,883 | 4,581 | $1.19M |
| 90834 | 8,890 | 4,674 | $662K | |
| 99395 | 2,616 | 2,589 | $430K | |
| 99213 | 19,397 | 17,357 | $308K | |
| D0330 | 11,068 | 6,038 | $302K | |
| 99394 | 1,773 | 1,770 | $289K | |
| 99393 | 1,732 | 1,727 | $280K | |
| D1110 | 15,808 | 12,544 | $273K | |
| 99392 | 1,566 | 1,565 | $253K | |
| D7210 | 2,449 | 1,075 | $203K | |
| G0467 | Fqhc visit, estab pt | 6,383 | 5,299 | $191K |
| 99396 | 2,155 | 2,145 | $181K | |
| D7140 | 4,256 | 1,449 | $171K | |
| D2391 | 11,061 | 6,686 | $166K | |
| 99391 | 916 | 850 | $162K | |
| D0140 | 7,421 | 3,907 | $156K | |
| D0230 | 29,882 | 5,757 | $146K | |
| 90837 | 1,057 | 527 | $131K | |
| G0470 | Fqhc visit, mh estab pt | 2,286 | 1,332 | $122K |
| D0220 | 13,979 | 7,307 | $99K | |
| D2392 | 4,871 | 3,375 | $88K | |
| 99173 | 4,535 | 4,356 | $84K | |
| D0150 | 7,301 | 5,538 | $82K | |
| D4341 | 2,086 | 996 | $70K | |
| D0274 | 7,574 | 5,782 | $65K | |
| G2023 | Specimen collect covid-19 | 1,667 | 1,566 | $65K |
| D0210 | 2,658 | 2,066 | $60K | |
| 96110 | 6,371 | 6,104 | $57K | |
| 92014 | 703 | 703 | $56K | |
| D1120 | 1,161 | 1,084 | $54K | |
| 90662 | 871 | 867 | $44K | |
| 92551 | 4,683 | 4,510 | $41K | |
| D0120 | 4,979 | 3,762 | $40K | |
| 97802 | 678 | 678 | $38K | |
| D1208 | 1,205 | 1,148 | $34K | |
| 90715 | 1,291 | 1,255 | $30K | |
| 90832 | 611 | 453 | $30K | |
| 97803 | 909 | 896 | $27K | |
| 0011A | 631 | 624 | $25K | |
| D2330 | 1,433 | 921 | $23K | |
| 0012A | 495 | 492 | $23K | |
| D2331 | 1,167 | 795 | $22K | |
| 99385 | 118 | 118 | $20K | |
| D9110 | 698 | 374 | $17K | |
| D2140 | 1,229 | 665 | $17K | |
| 99188 | 688 | 644 | $16K | |
| D0180 | 1,408 | 1,150 | $16K | |
| 90746 | 242 | 242 | $16K | |
| 90791 | 99 | 95 | $13K | |
| 90833 | 419 | 413 | $13K | |
| D2150 | 893 | 536 | $13K | |
| 90656 | 3,160 | 3,127 | $13K | |
| D5212 | 126 | 85 | $13K | |
| 92015 | 1,017 | 1,017 | $12K | |
| 0001A | 274 | 271 | $12K | |
| 0002A | 205 | 204 | $9K | |
| 90460 | 5,047 | 4,881 | $9K | |
| 99214 | 928 | 886 | $7K | |
| D2393 | 279 | 230 | $6K | |
| 0064A | 155 | 155 | $6K | |
| 81025 | 970 | 925 | $6K | |
| D5211 | 65 | 42 | $5K | |
| 90471 | 3,939 | 3,857 | $4K | |
| 0004A | 75 | 75 | $3K | |
| 90686 | 207 | 206 | $3K | |
| 99212 | 1,527 | 1,478 | $3K | |
| 90670 | 242 | 226 | $3K | |
| 81000 | 869 | 765 | $3K | |
| 87210 | 543 | 535 | $2K | |
| 0072A | 41 | 41 | $2K | |
| 90651 | 466 | 445 | $2K | |
| 90750 | 26 | 26 | $2K | |
| 90882 | 33 | 30 | $2K | |
| 0071A | 31 | 31 | $1K | |
| 0134A | 28 | 27 | $1K | |
| D2160 | 48 | 31 | $850.00 | |
| 92250 | 39 | 39 | $835.55 | |
| 92004 | 12 | 12 | $816.48 | |
| 90673 | 15 | 15 | $755.88 | |
| 90707 | 30 | 29 | $668.39 | |
| 90461 | 1,527 | 1,470 | $659.28 | |
| G0466 | Fqhc visit new patient | 12 | 12 | $519.60 |
| 0031A | 12 | 12 | $504.57 | |
| D2332 | 12 | 12 | $464.00 | |
| D0272 | 13 | 13 | $360.00 | |
| 90633 | 241 | 236 | $308.28 | |
| D2335 | 16 | 12 | $292.00 | |
| 83036 | 25 | 25 | $198.78 | |
| 99202 | 22 | 22 | $132.57 | |
| 82947 | 12 | 12 | $44.55 | |
| 90744 | 163 | 154 | $27.53 | |
| 90472 | 112 | 112 | $20.55 | |
| G0468 | Fqhc visit, ippe or awv | 24 | 24 | $0.11 |
| G0008 | Admin influenza virus vac | 195 | 185 | $0.00 |
| 91301 | 1,302 | 1,279 | $0.00 | |
| 90698 | 134 | 133 | $0.00 | |
| 36415 | 511 | 476 | $0.00 | |
| 99000 | 750 | 724 | $0.00 | |
| 90680 | 37 | 37 | $0.00 | |
| 90619 | 32 | 32 | $0.00 | |
| G0439 | Ppps, subseq visit | 24 | 24 | $0.00 |
| 91300 | 759 | 711 | $0.00 | |
| 90734 | 239 | 217 | $0.00 | |
| 90710 | 38 | 38 | $0.00 | |
| 90648 | 15 | 15 | $0.00 | |
| 91313 | 13 | 13 | $0.00 | |
| 99203 | 15 | 15 | $0.00 |