NPI: 1023668183 · FORT WAYNE, IN 46806 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 379 | $7K |
| 2021 | 1,207 | $87K |
| 2022 | 27,948 | $896K |
| 2023 | 136,246 | $6.38M |
| 2024 | 200,710 | $10.76M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 173,425 | 116,494 | $8.45M |
| 99214 | 80,121 | 63,751 | $4.91M | |
| 90834 | 39,310 | 22,459 | $1.72M | |
| 90832 | 25,461 | 16,482 | $919K | |
| 90792 | 8,654 | 7,335 | $829K | |
| 99213 | 11,879 | 9,772 | $523K | |
| 90853 | 10,129 | 4,039 | $133K | |
| 99204 | 1,196 | 995 | $111K | |
| 99215 | Prolong outpt/office vis | 1,083 | 901 | $105K |
| 90791 | 1,085 | 974 | $104K | |
| G0467 | Fqhc visit, estab pt | 3,897 | 2,630 | $96K |
| 99205 | Prolong outpt/office vis | 511 | 461 | $66K |
| 90847 | 1,154 | 705 | $50K | |
| Q3014 | Telehealth facility fee | 3,873 | 2,447 | $41K |
| 90837 | 625 | 363 | $35K | |
| 96372 | 3,045 | 2,296 | $19K | |
| 99417 | Prolong home eval add 15m | 314 | 274 | $17K |
| 99203 | 33 | 25 | $2K | |
| 99212 | 65 | 41 | $2K | |
| 99202 | 91 | 58 | $2K | |
| U0001 | 2019-ncov diagnostic p | 113 | 83 | $1K |
| 99385 | 16 | 14 | $1K | |
| 90686 | 96 | 72 | $1K | |
| G0470 | Fqhc visit, mh estab pt | 47 | 24 | $940.68 |
| 90471 | 107 | 95 | $359.17 | |
| 90656 | 22 | 22 | $358.74 | |
| 83036 | 47 | 42 | $145.10 | |
| 36415 | 60 | 53 | $139.05 | |
| 81002 | 14 | 13 | $35.85 | |
| 90694 | 17 | 15 | $0.00 |