NPI: 1073573994 · DAVENPORT, IA 52803 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,534 | $261K |
| 2019 | 17,781 | $278K |
| 2020 | 14,549 | $258K |
| 2021 | 16,286 | $331K |
| 2022 | 15,245 | $300K |
| 2023 | 14,688 | $281K |
| 2024 | 14,133 | $318K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 11,656 | 10,984 | $743K | |
| 70450 | 12,746 | 11,806 | $383K | |
| 71046 | 39,934 | 37,164 | $326K | |
| 71045 | 31,231 | 26,770 | $193K | |
| 77067 | 4,415 | 4,281 | $149K | |
| 77063 | 4,320 | 4,181 | $107K | |
| 76705 | 1,302 | 1,233 | $31K | |
| 74176 | 340 | 324 | $21K | |
| 76642 | 780 | 677 | $20K | |
| 71275 | 308 | 294 | $14K | |
| G0279 | Tomosynthesis, mammo | 511 | 481 | $11K |
| 74022 | 465 | 437 | $6K | |
| 73630 | 611 | 560 | $4K | |
| 73562 | 423 | 372 | $3K | |
| 73721 | 40 | 37 | $2K | |
| 73130 | 319 | 290 | $2K | |
| 71260 | 60 | 54 | $2K | |
| 72100 | 193 | 183 | $2K | |
| 77066 | Tomosynthesis, mammo | 38 | 38 | $2K |
| 72125 | 44 | 41 | $1K | |
| 76830 | 39 | 38 | $1K | |
| 76815 | 42 | 36 | $1K | |
| 73610 | 109 | 105 | $844.89 | |
| 77065 | Tomosynthesis, mammo | 18 | 14 | $390.69 |
| 76817 | 12 | 12 | $381.92 | |
| 74018 | 50 | 49 | $372.00 | |
| 73110 | 42 | 42 | $337.72 | |
| 73030 | 29 | 27 | $220.86 | |
| 93971 | 13 | 12 | $218.67 | |
| 73120 | 12 | 12 | $80.90 | |
| G9637 | Doc >1 dose reduc tech | 114 | 95 | $0.00 |