NPI: 1063587046 · ESCANABA, MI 49829 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29,356 | $813K |
| 2019 | 30,706 | $830K |
| 2020 | 26,049 | $707K |
| 2021 | 32,696 | $998K |
| 2022 | 33,142 | $1.09M |
| 2023 | 36,405 | $1.44M |
| 2024 | 32,822 | $2.04M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 96,725 | 80,595 | $3.28M |
| 99213 | 44,452 | 40,083 | $1.45M | |
| 99214 | 27,975 | 25,707 | $1.12M | |
| J0578 | Inj brixadi, more than 7 day | 116 | 99 | $744K |
| Q9992 | Buprenorphine xr over 100 mg | 130 | 125 | $146K |
| 99392 | 2,870 | 2,869 | $141K | |
| 99203 | 3,371 | 3,360 | $140K | |
| 99391 | 3,249 | 3,032 | $121K | |
| 99204 | 1,301 | 1,291 | $96K | |
| 99215 | Prolong outpt/office vis | 1,301 | 1,114 | $91K |
| 99393 | 1,757 | 1,757 | $91K | |
| 90472 | 3,928 | 3,922 | $71K | |
| Q9991 | Buprenorph xr 100 mg or less | 34 | 25 | $64K |
| 59426 | 44 | 43 | $53K | |
| 90471 | 6,967 | 6,927 | $48K | |
| 99394 | 800 | 799 | $46K | |
| 99212 | 2,168 | 2,134 | $38K | |
| 90837 | 310 | 210 | $25K | |
| 90686 | 3,419 | 3,412 | $17K | |
| 99395 | 219 | 219 | $16K | |
| 96372 | 2,547 | 2,301 | $13K | |
| 99205 | Prolong outpt/office vis | 119 | 117 | $13K |
| 59430 | 64 | 63 | $12K | |
| 90832 | 865 | 553 | $8K | |
| 99202 | 662 | 660 | $7K | |
| 90834 | 122 | 98 | $7K | |
| 96110 | 663 | 578 | $6K | |
| 59025 | 240 | 95 | $5K | |
| 99396 | 67 | 67 | $5K | |
| 90473 | 925 | 925 | $5K | |
| 0012A | 107 | 107 | $4K | |
| 0001A | 96 | 96 | $4K | |
| 90791 | 53 | 53 | $3K | |
| 0011A | 108 | 108 | $3K | |
| 0002A | 74 | 74 | $3K | |
| 90715 | 158 | 157 | $2K | |
| 0004A | 53 | 53 | $2K | |
| 90656 | 90 | 90 | $2K | |
| 99441 | 159 | 108 | $2K | |
| 0071A | 40 | 40 | $2K | |
| 99442 | 132 | 88 | $1K | |
| 90670 | 1,957 | 1,957 | $1K | |
| 96127 | 358 | 286 | $1K | |
| 0124A | 31 | 31 | $1K | |
| 99443 | 80 | 46 | $1K | |
| 0031A | 27 | 27 | $899.63 | |
| 0072A | 17 | 17 | $643.45 | |
| 90651 | 146 | 146 | $458.68 | |
| G2212 | Prolong outpt/office vis | 24 | 24 | $450.38 |
| 90716 | 647 | 647 | $408.78 | |
| 90707 | 674 | 673 | $231.45 | |
| 94640 | 420 | 412 | $158.56 | |
| 93010 | 25 | 25 | $127.75 | |
| 81025 | 13 | 13 | $92.69 | |
| 90633 | 950 | 950 | $51.31 | |
| 90474 | 188 | 188 | $49.00 | |
| J2930 | Methylprednisolone injection | 26 | 25 | $27.85 |
| J1885 | Ketorolac tromethamine inj | 131 | 128 | $27.00 |
| J7613 | Albuterol non-comp unit | 227 | 224 | $0.00 |
| 90723 | 1,792 | 1,792 | $0.00 | |
| 90680 | 1,403 | 1,403 | $0.00 | |
| J7620 | Albuterol ipratrop non-comp | 29 | 29 | $0.00 |
| 90696 | 68 | 68 | $0.00 | |
| 91301 | 170 | 165 | $0.00 | |
| 91307 | 74 | 71 | $0.00 | |
| 90732 | 64 | 64 | $0.00 | |
| 90681 | 78 | 78 | $0.00 | |
| 91300 | 342 | 308 | $0.00 | |
| 90648 | 2,311 | 2,311 | $0.00 | |
| 90685 | 62 | 61 | $0.00 | |
| 91312 | 31 | 31 | $0.00 | |
| 90734 | 104 | 104 | $0.00 | |
| 99177 | 134 | 134 | $0.00 | |
| 99244 | 13 | 13 | $0.00 | |
| 90700 | 80 | 80 | $0.00 |