NPI: 1033548896 · INDIANAPOLIS, IN 46240 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,158 | $418K |
| 2019 | 22,819 | $1.12M |
| 2020 | 28,000 | $1.45M |
| 2021 | 40,209 | $2.05M |
| 2022 | 65,879 | $2.19M |
| 2023 | 66,932 | $2.12M |
| 2024 | 54,326 | $2.01M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 68,338 | 54,792 | $3.82M | |
| 99204 | 46,985 | 38,638 | $3.39M | |
| 99203 | 24,834 | 19,788 | $1.32M | |
| 99213 | 27,981 | 21,241 | $1.22M | |
| 87426 | 44,988 | 36,413 | $907K | |
| 87804 | 43,352 | 17,282 | $424K | |
| 87880 | 20,014 | 15,215 | $170K | |
| 87635 | 2,386 | 2,195 | $56K | |
| 81003 | 10,264 | 7,952 | $13K | |
| 87807 | 1,987 | 1,544 | $12K | |
| 99215 | Prolong outpt/office vis | 106 | 96 | $11K |
| 99205 | Prolong outpt/office vis | 112 | 86 | $9K |
| 96372 | 1,103 | 777 | $6K | |
| 71046 | 315 | 257 | $5K | |
| 90471 | 252 | 217 | $3K | |
| 90686 | 197 | 174 | $3K | |
| 90674 | 113 | 62 | $2K | |
| 99202 | 25 | 25 | $1K | |
| 81025 | 390 | 276 | $1K | |
| 87661 | 80 | 65 | $896.41 | |
| 87510 | 133 | 85 | $680.61 | |
| 90656 | 37 | 36 | $679.61 | |
| 87660 | 94 | 63 | $540.79 | |
| 87798 | 36 | 26 | $192.05 | |
| J0696 | Ceftriaxone sodium injection | 70 | 53 | $9.02 |
| J1885 | Ketorolac tromethamine inj | 43 | 26 | $0.00 |
| A9150 | Misc/exper non-prescript dru | 16 | 12 | $0.00 |
| 36415 | 15 | 12 | $0.00 | |
| 99406 | 23 | 17 | $0.00 | |
| G0008 | Admin influenza virus vac | 34 | 20 | $0.00 |