NPI: 1063117158 · PERRYVILLE, MO 63775 · 207P00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,763 | $37K |
| 2020 | 1,342 | $21K |
| 2023 | 2,026 | $216K |
| 2024 | 7,039 | $776K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99285 | 1,297 | 871 | $358K | |
| 99284 | 1,219 | 906 | $207K | |
| 99283 | 1,196 | 846 | $164K | |
| 97530 | 693 | 231 | $66K | |
| 97112 | 739 | 193 | $60K | |
| 92507 | 444 | 132 | $37K | |
| 0202U | 58 | 58 | $31K | |
| X4011 | 163 | 134 | $21K | |
| Y7506 | 777 | 652 | $18K | |
| 99223 | Prolong inpt eval add15 m | 127 | 110 | $11K |
| 99233 | Prolong inpt eval add15 m | 265 | 97 | $11K |
| 93005 | 319 | 274 | $10K | |
| 80053 | 1,257 | 1,100 | $9K | |
| 99239 | 228 | 196 | $8K | |
| 0241U | 78 | 73 | $8K | |
| 71045 | 108 | 88 | $6K | |
| 85025 | 1,317 | 1,154 | $6K | |
| 96374 | 43 | 41 | $5K | |
| 93010 | 551 | 473 | $3K | |
| 96365 | 27 | 27 | $3K | |
| 87651 | 26 | 26 | $1K | |
| 99232 | 60 | 24 | $1K | |
| 80307 | 15 | 14 | $1K | |
| J3490 | Drugs unclassified injection | 113 | 94 | $931.45 |
| 94010 | 20 | 15 | $684.06 | |
| 83605 | 107 | 100 | $634.77 | |
| 84484 | 86 | 73 | $603.46 | |
| 87880 | 26 | 26 | $529.22 | |
| 99282 | 15 | 15 | $344.19 | |
| 81001 | 201 | 176 | $297.33 | |
| 96375 | 12 | 12 | $266.59 | |
| 82550 | 133 | 104 | $224.12 | |
| 83880 | 14 | 12 | $157.00 | |
| 87040 | 12 | 12 | $106.12 | |
| 86140 | 25 | 24 | $83.67 | |
| 81003 | 32 | 32 | $50.16 | |
| 83690 | 12 | 12 | $26.73 | |
| 85730 | 15 | 12 | $15.99 | |
| 85610 | 15 | 12 | $10.47 | |
| 36415 | 325 | 247 | $0.00 |