NPI: 1033429394 · DETROIT, MI 48201 · 2083P0901X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21,006 | $174K |
| 2019 | 20,287 | $174K |
| 2020 | 4,071 | $36K |
| 2021 | 4,260 | $39K |
| 2022 | 110 | $771.30 |
| 2023 | 4,664 | $29K |
| 2024 | 4,375 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99172 | 11,894 | 11,278 | $104K | |
| V5008 | Hearing screening | 11,173 | 11,167 | $97K |
| 90472 | 5,621 | 5,579 | $85K | |
| 90471 | 7,970 | 7,884 | $53K | |
| 90632 | 1,328 | 1,315 | $47K | |
| 83655 | 2,539 | 2,528 | $26K | |
| 36416 | 2,387 | 2,377 | $14K | |
| 90651 | 1,234 | 1,227 | $8K | |
| 90707 | 807 | 801 | $8K | |
| 90716 | 764 | 760 | $8K | |
| 90480 | 188 | 186 | $7K | |
| 90715 | 1,368 | 1,359 | $6K | |
| 90688 | 548 | 548 | $5K | |
| 91320 | 55 | 55 | $4K | |
| 90686 | 1,450 | 1,439 | $4K | |
| 99211 | 316 | 314 | $4K | |
| 90746 | 218 | 216 | $3K | |
| 86580 | 450 | 443 | $2K | |
| 90734 | 830 | 827 | $1K | |
| 91322 | 13 | 13 | $875.52 | |
| 99203 | 16 | 16 | $638.37 | |
| 92551 | 64 | 64 | $444.26 | |
| 90620 | 68 | 67 | $360.40 | |
| 81002 | 123 | 122 | $311.04 | |
| 81025 | 44 | 44 | $299.46 | |
| 90619 | 434 | 434 | $155.00 | |
| 90713 | 403 | 403 | $58.18 | |
| 99177 | 17 | 17 | $50.66 | |
| 90656 | 14 | 14 | $38.50 | |
| Q2035 | Afluria vacc, 3 yrs & >, im | 21 | 21 | $28.50 |
| 90647 | 507 | 502 | $0.00 | |
| 90698 | 296 | 294 | $0.00 | |
| 90696 | 404 | 402 | $0.00 | |
| 90723 | 408 | 404 | $0.00 | |
| 90744 | 168 | 166 | $0.00 | |
| 90697 | 80 | 80 | $0.00 | |
| 90680 | 114 | 114 | $0.00 | |
| 90733 | 16 | 16 | $0.00 | |
| 90633 | 1,499 | 1,496 | $0.00 | |
| 90671 | 118 | 118 | $0.00 | |
| 90710 | 678 | 676 | $0.00 | |
| 90670 | 1,041 | 1,035 | $0.00 | |
| 99173 | 85 | 84 | $0.00 | |
| 90685 | 288 | 288 | $0.00 | |
| 90621 | 13 | 13 | $0.00 | |
| 90700 | 701 | 697 | $0.00 |