NPI: 1043225196 · APPLETON, WI 54914 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 45 | $1K |
| 2019 | 14 | $409.65 |
| 2020 | 70 | $1K |
| 2021 | 1,955 | $32K |
| 2022 | 412 | $5K |
| 2023 | 97 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 423 | 407 | $15K | |
| 0002A | 380 | 369 | $14K | |
| 91320 | 46 | 34 | $4K | |
| 90686 | 126 | 111 | $3K | |
| 90674 | 96 | 75 | $3K | |
| 0072A | 42 | 41 | $2K | |
| 0071A | 35 | 35 | $1K | |
| 0124A | 33 | 33 | $1K | |
| 0003A | 26 | 26 | $954.00 | |
| 0054A | 24 | 24 | $877.68 | |
| 0004A | 17 | 17 | $648.72 | |
| 0012A | 27 | 24 | $596.19 | |
| 0011A | 34 | 34 | $508.20 | |
| 91305 | 130 | 126 | $0.00 | |
| 91307 | 116 | 101 | $0.00 | |
| 91301 | 76 | 73 | $0.00 | |
| 91312 | 33 | 33 | $0.00 | |
| 91300 | 929 | 816 | $0.00 |