NPI: 1063789022 · SUPERIOR, WI 54880 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 17,149 | $1.10M |
| 2023 | 27,200 | $1.80M |
| 2024 | 16,126 | $1.27M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 15,692 | 12,158 | $3.42M |
| 99213 | 4,497 | 3,545 | $242K | |
| 90834 | 3,383 | 1,487 | $143K | |
| 99214 | 3,335 | 2,675 | $139K | |
| 99212 | 376 | 295 | $50K | |
| H0022 | Alcohol and/or drug interven | 2,621 | 1,087 | $39K |
| 98940 | 2,016 | 806 | $26K | |
| G0467 | Fqhc visit, estab pt | 849 | 750 | $23K |
| 98941 | 86 | 47 | $18K | |
| D0140 | 2,553 | 2,293 | $13K | |
| 90837 | 134 | 67 | $10K | |
| 80047 | 1,462 | 1,154 | $7K | |
| 91322 | 86 | 72 | $7K | |
| 90832 | 258 | 96 | $7K | |
| 90686 | 279 | 234 | $3K | |
| 83036 | 1,003 | 774 | $3K | |
| G0470 | Fqhc visit, mh estab pt | 76 | 32 | $2K |
| 99393 | 25 | 24 | $2K | |
| D2392 | 1,194 | 1,002 | $2K | |
| D7140 | 201 | 126 | $2K | |
| D0120 | 2,465 | 2,329 | $1K | |
| 90480 | 110 | 92 | $1K | |
| 85025 | 360 | 269 | $1K | |
| 90791 | 16 | 12 | $969.87 | |
| D0150 | 1,099 | 1,016 | $760.22 | |
| 99202 | 34 | 27 | $497.50 | |
| D2391 | 613 | 472 | $388.99 | |
| 0124A | 12 | 12 | $232.64 | |
| 36415 | 2,093 | 1,633 | $185.06 | |
| 90756 | 18 | 15 | $118.58 | |
| 99394 | 44 | 14 | $115.86 | |
| 90471 | 285 | 223 | $58.66 | |
| D0220 | 2,109 | 1,915 | $0.00 | |
| D0330 | 2,188 | 2,006 | $0.00 | |
| D0274 | 2,680 | 2,504 | $0.00 | |
| D1110 | 2,526 | 2,375 | $0.00 | |
| D1120 | 587 | 554 | $0.00 | |
| 90472 | 63 | 55 | $0.00 | |
| D1206 | 1,908 | 1,827 | $0.00 | |
| D0230 | 683 | 434 | $0.00 | |
| D5899 | 255 | 163 | $0.00 | |
| D0272 | 107 | 101 | $0.00 | |
| D2393 | 68 | 66 | $0.00 | |
| 97014 | 26 | 16 | $0.00 |