NPI: 1942317094 · PHILADELPHIA, PA 19145 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,117 | $305K |
| 2019 | 1,711 | $501K |
| 2020 | 9,094 | $1.37M |
| 2021 | 20,068 | $2.78M |
| 2022 | 22,675 | $2.95M |
| 2023 | 21,588 | $3.28M |
| 2024 | 19,056 | $2.33M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 48,219 | 44,232 | $13.49M |
| 0124A | 177 | 174 | $7K | |
| 0134A | 104 | 102 | $4K | |
| 0064A | 97 | 96 | $3K | |
| 0002A | 76 | 76 | $548.39 | |
| 99213 | 15,049 | 14,346 | $500.26 | |
| 0012A | 174 | 173 | $468.39 | |
| 0001A | 61 | 61 | $376.94 | |
| 90686 | 2,877 | 2,873 | $157.03 | |
| 90662 | 25 | 25 | $146.80 | |
| 0054A | 26 | 26 | $80.00 | |
| 99212 | 3,687 | 3,540 | $52.00 | |
| 90656 | 375 | 375 | $22.35 | |
| 90471 | 1,684 | 1,674 | $10.00 | |
| 81025 | 1,547 | 1,502 | $4.00 | |
| 90460 | 3,789 | 3,761 | $0.00 | |
| 91300 | 46 | 46 | $0.00 | |
| 90648 | 826 | 822 | $0.00 | |
| 90670 | 625 | 625 | $0.00 | |
| 99392 | 1,247 | 1,234 | $0.00 | |
| D0220 | 272 | 271 | $0.00 | |
| 99391 | 873 | 858 | $0.00 | |
| 99393 | 783 | 778 | $0.00 | |
| 99394 | 582 | 576 | $0.00 | |
| 90461 | 1,326 | 1,317 | $0.00 | |
| 1159F | 153 | 139 | $0.00 | |
| 1160F | 153 | 139 | $0.00 | |
| 90707 | 157 | 157 | $0.00 | |
| 90633 | 357 | 354 | $0.00 | |
| 99173 | 1,486 | 1,479 | $0.00 | |
| D0274 | 75 | 75 | $0.00 | |
| D1120 | 105 | 105 | $0.00 | |
| 90700 | 17 | 17 | $0.00 | |
| 3078F | 116 | 113 | $0.00 | |
| D1110 | 217 | 217 | $0.00 | |
| 90472 | 54 | 54 | $0.00 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 42 | 42 | $0.00 |
| 3077F | 29 | 29 | $0.00 | |
| 90734 | 14 | 14 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 25 | 25 | $0.00 |
| 90715 | 13 | 12 | $0.00 | |
| 99396 | 34 | 33 | $0.00 | |
| 90716 | 236 | 235 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 1,420 | 1,352 | $0.00 |
| 90680 | 416 | 413 | $0.00 | |
| D0210 | 40 | 40 | $0.00 | |
| 96110 | 279 | 274 | $0.00 | |
| 99214 | 548 | 536 | $0.00 | |
| 90619 | 75 | 75 | $0.00 | |
| 90677 | 207 | 203 | $0.00 | |
| D0150 | 101 | 101 | $0.00 | |
| 90723 | 550 | 547 | $0.00 | |
| 90651 | 162 | 158 | $0.00 | |
| 3079F | 79 | 73 | $0.00 | |
| 92551 | 757 | 752 | $0.00 | |
| D1208 | 182 | 182 | $0.00 | |
| 97802 | 1,274 | 1,218 | $0.00 | |
| 91301 | 269 | 264 | $0.00 | |
| D1330 | 353 | 353 | $0.00 | |
| 0011A | 80 | 80 | $0.00 | |
| 3008F | 662 | 574 | $0.00 | |
| D0140 | 206 | 205 | $0.00 | |
| D0120 | 264 | 264 | $0.00 | |
| G0008 | Admin influenza virus vac | 42 | 42 | $0.00 |
| 90620 | 24 | 24 | $0.00 | |
| 1111F | 164 | 147 | $0.00 | |
| 3074F | 106 | 103 | $0.00 | |
| 91305 | 14 | 14 | $0.00 | |
| D0230 | 110 | 107 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 25 | 25 | $0.00 |
| 96372 | 54 | 53 | $0.00 | |
| 3075F | 16 | 16 | $0.00 |