NPI: 1023119377 · SABETHA, KS 66534 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 878 | $14K |
| 2019 | 678 | $11K |
| 2020 | 543 | $7K |
| 2021 | 383 | $4K |
| 2022 | 355 | $4K |
| 2023 | 361 | $4K |
| 2024 | 267 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 1,542 | 1,508 | $28K | |
| 90472 | 286 | 284 | $12K | |
| 90686 | 568 | 565 | $1K | |
| 91322 | 47 | 47 | $938.00 | |
| 96110 | 29 | 29 | $882.00 | |
| 0064A | 52 | 51 | $480.00 | |
| 92551 | 45 | 45 | $428.73 | |
| 90682 | 26 | 26 | $370.48 | |
| 90662 | 175 | 175 | $239.98 | |
| 90688 | 27 | 27 | $150.00 | |
| 90673 | 12 | 12 | $140.00 | |
| 99173 | 29 | 29 | $105.00 | |
| 90656 | 34 | 34 | $103.77 | |
| 90480 | 64 | 64 | $99.05 | |
| 0094A | 19 | 19 | $80.00 | |
| 0124A | 17 | 17 | $80.00 | |
| 90698 | 13 | 13 | $0.00 | |
| 90651 | 15 | 15 | $0.00 | |
| G0008 | Admin influenza virus vac | 309 | 309 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 18 | 17 | $0.00 |
| 90619 | 17 | 17 | $0.00 | |
| 90633 | 24 | 24 | $0.00 | |
| 91320 | 17 | 17 | $0.00 | |
| 90687 | 45 | 45 | $0.00 | |
| 90670 | 22 | 21 | $0.00 | |
| 90715 | 13 | 13 | $0.00 |