NPI: 1992791818 · PHILADELPHIA, PA 19152 · 363LA2200X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,312 | $555.26 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99309 | 69 | 56 | $555.26 | |
| 4322F | 161 | 134 | $0.00 | |
| G9916 | Funct status past 12 months | 159 | 130 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 159 | 130 | $0.00 |
| G9919 | Scrn nd pos nd prov of rec | 67 | 54 | $0.00 |
| 1123F | 159 | 130 | $0.00 | |
| G8734 | Doc neg eld req | 165 | 135 | $0.00 |
| G9512 | Indiv pdc > 0.8 | 148 | 121 | $0.00 |
| G9922 | Sfty cncrns scrn nd mit recs | 66 | 54 | $0.00 |
| G8433 | Scr for dep not cpt doc rsn | 147 | 122 | $0.00 |
| 99308 | 12 | 12 | $0.00 |