NPI: 1043891336 · SOUTH BEND, IN 46628 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 20,625 | $556K |
| 2022 | 56,907 | $1.73M |
| 2023 | 15,739 | $93K |
| 2024 | 13,505 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0003 | Cov-19 amp prb hgh thruput | 36,091 | 27,517 | $1.79M |
| U0005 | Infec agen detec ampli probe | 27,115 | 20,298 | $410K |
| 87086 | 9,846 | 8,700 | $51K | |
| 87088 | 4,136 | 3,699 | $21K | |
| 87186 | 2,875 | 2,594 | $17K | |
| 82728 | 2,633 | 2,328 | $16K | |
| 80053 | 3,296 | 2,549 | $16K | |
| 87801 | 242 | 210 | $12K | |
| 87077 | 2,446 | 2,177 | $12K | |
| 87150 | 421 | 406 | $11K | |
| 87591 | 468 | 404 | $11K | |
| 87491 | 468 | 404 | $11K | |
| 84443 | 1,650 | 1,358 | $10K | |
| 83550 | 2,291 | 2,044 | $9K | |
| 83540 | 2,300 | 2,052 | $7K | |
| 87661 | 431 | 377 | $7K | |
| 87798 | 392 | 172 | $6K | |
| G0480 | Drug test def 1-7 classes | 125 | 113 | $5K |
| 87081 | 974 | 899 | $5K | |
| 80307 | 145 | 125 | $5K | |
| 81001 | 1,817 | 1,748 | $4K | |
| 87651 | 237 | 193 | $4K | |
| 82607 | 579 | 507 | $3K | |
| 84439 | 800 | 692 | $3K | |
| 82378 | 300 | 258 | $3K | |
| 83615 | 942 | 801 | $2K | |
| 85025 | 628 | 474 | $2K | |
| 80177 | 201 | 164 | $1K | |
| 36415 | 531 | 376 | $1K | |
| 82784 | 194 | 136 | $1K | |
| 82746 | 179 | 160 | $1K | |
| 86334 | 142 | 122 | $883.10 | |
| 85379 | 163 | 145 | $800.04 | |
| 87070 | 125 | 120 | $759.58 | |
| 80061 | 121 | 94 | $664.73 | |
| 81003 | 339 | 337 | $646.61 | |
| 80050 | 17 | 13 | $520.40 | |
| 84165 | 183 | 160 | $453.63 | |
| 84702 | 52 | 26 | $322.75 | |
| 82306 | 60 | 49 | $277.58 | |
| 87205 | 71 | 67 | $219.80 | |
| 85027 | 68 | 41 | $210.31 | |
| 83036 | 61 | 48 | $208.51 | |
| 84144 | 27 | 14 | $203.36 | |
| 84155 | 201 | 176 | $138.02 | |
| 83735 | 45 | 25 | $132.65 | |
| 80048 | 90 | 78 | $126.67 | |
| 85046 | 44 | 38 | $118.17 | |
| 85045 | 53 | 48 | $109.01 | |
| 82570 | 13 | 13 | $59.09 | |
| 85610 | 20 | 13 | $49.77 | |
| G0307 | Cbc without platelet | 80 | 61 | $45.29 |
| 85652 | 35 | 32 | $44.12 | |
| 84156 | 13 | 13 | $30.33 |