NPI: 1992122683 · QUINCY, MA 02171 · 163W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $2K |
| 2020 | 524 | $39K |
| 2021 | 6,868 | $589K |
| 2022 | 8,855 | $1.13M |
| 2023 | 1,841 | $240K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,657 | 5,793 | $1.35M |
| T1040 | Comm bh clinic svc per diem | 1,103 | 583 | $150K |
| 99393 | 689 | 689 | $133K | |
| 99394 | 579 | 579 | $111K | |
| 90834 | 847 | 502 | $77K | |
| 99392 | 303 | 303 | $53K | |
| 90471 | 1,445 | 1,435 | $25K | |
| 96110 | 2,088 | 2,070 | $20K | |
| 99391 | 99 | 95 | $20K | |
| G2023 | Specimen collect covid-19 | 456 | 441 | $10K |
| 0071A | 292 | 292 | $10K | |
| 90472 | 729 | 729 | $9K | |
| 90832 | 186 | 148 | $8K | |
| 99395 | 37 | 37 | $7K | |
| 90791 | 38 | 29 | $5K | |
| 81002 | 927 | 888 | $2K | |
| 0072A | 55 | 55 | $2K | |
| G0470 | Fqhc visit, mh estab pt | 14 | 14 | $2K |
| 87400 | 84 | 83 | $860.60 | |
| 0001A | 13 | 13 | $578.50 | |
| 0111A | 12 | 12 | $453.96 | |
| 87880 | 26 | 26 | $337.96 | |
| 85018 | 58 | 58 | $139.94 | |
| 91311 | 12 | 12 | $0.00 | |
| 91307 | 353 | 344 | $0.00 |