NPI: 1932208584 · ERIE, PA 16501 · 207RI0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,712 | $211K |
| 2022 | 6,086 | $318K |
| 2023 | 2,456 | $133K |
| 2024 | 292 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,840 | 3,580 | $642K |
| 99214 | 1,017 | 990 | $15K | |
| G9012 | Other specified case mgmt | 24 | 24 | $7K |
| G0396 | Alcohol/subs interv 15-30mn | 149 | 132 | $6K |
| 99213 | 2,327 | 2,209 | $4K | |
| 0013A | 48 | 48 | $2K | |
| G0008 | Admin influenza virus vac | 13 | 13 | $121.00 |
| 99211 | 267 | 258 | $4.21 | |
| G8510 | Scr dep neg, no plan reqd | 413 | 413 | $0.00 |
| 3074F | 1,333 | 1,287 | $0.00 | |
| 91301 | 95 | 91 | $0.00 | |
| 3079F | 674 | 654 | $0.00 | |
| 3075F | 312 | 308 | $0.00 | |
| 91309 | 13 | 13 | $0.00 | |
| 3080F | 99 | 94 | $0.00 | |
| 90657 | 73 | 73 | $0.00 | |
| 90716 | 27 | 27 | $0.00 | |
| 90471 | 32 | 32 | $0.00 | |
| 90744 | 92 | 92 | $0.00 | |
| 96127 | 55 | 55 | $0.00 | |
| 92551 | 104 | 104 | $0.00 | |
| 3077F | 251 | 237 | $0.00 | |
| G0444 | Depression screen annual | 488 | 487 | $0.00 |
| 3078F | 1,155 | 1,115 | $0.00 | |
| 99394 | 43 | 43 | $0.00 | |
| 90714 | 14 | 12 | $0.00 | |
| 99393 | 59 | 59 | $0.00 | |
| G2012 | Brief check in by md/qhp | 163 | 158 | $0.00 |
| 99173 | 73 | 73 | $0.00 | |
| 99212 | 72 | 71 | $0.00 | |
| 90713 | 37 | 37 | $0.00 | |
| 99392 | 13 | 13 | $0.00 | |
| 90633 | 50 | 50 | $0.00 | |
| 96160 | 64 | 64 | $0.00 | |
| 90715 | 32 | 32 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| 80061 | 13 | 13 | $0.00 |