NPI: 1043481203 · BOURBONNAIS, IL 60914 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 421 | $14K |
| 2019 | 280 | $8K |
| 2020 | 1,200 | $36K |
| 2021 | 1,574 | $52K |
| 2022 | 1,308 | $57K |
| 2023 | 2,268 | $96K |
| 2024 | 2,648 | $126K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,382 | 1,157 | $111K | |
| 99213 | 1,611 | 1,433 | $87K | |
| 99204 | 704 | 578 | $59K | |
| 99203 | 1,160 | 1,059 | $57K | |
| 99283 | 558 | 527 | $15K | |
| 87811 | 426 | 341 | $15K | |
| 87804 | 579 | 398 | $12K | |
| 87880 | 803 | 709 | $11K | |
| 99284 | 263 | 247 | $10K | |
| 99202 | 149 | 127 | $4K | |
| 96372 | 342 | 259 | $3K | |
| 81003 | 948 | 788 | $2K | |
| 81025 | 353 | 297 | $2K | |
| 99211 | 85 | 85 | $1K | |
| 99212 | 35 | 14 | $858.55 | |
| 87807 | 81 | 69 | $652.81 | |
| 99000 | 12 | 12 | $328.44 | |
| 81002 | 123 | 113 | $312.00 | |
| 87808 | 12 | 12 | $183.48 | |
| J0696 | Ceftriaxone sodium injection | 34 | 27 | $31.85 |
| S9088 | Services provided in urgent | 13 | 13 | $25.00 |
| 99051 | 26 | 26 | $0.00 |