NPI: 1073871471 · JEFFERSON, IA 50129 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,290 | $18K |
| 2019 | 1,634 | $26K |
| 2020 | 1,392 | $22K |
| 2021 | 1,784 | $25K |
| 2022 | 804 | $12K |
| 2023 | 705 | $11K |
| 2024 | 338 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 2,985 | 2,797 | $52K | |
| 90472 | 1,417 | 1,310 | $30K | |
| 90686 | 1,476 | 1,369 | $9K | |
| 90651 | 224 | 211 | $6K | |
| 90734 | 275 | 257 | $5K | |
| S5161 | Emer rspns sys serv permonth | 154 | 135 | $4K |
| 0002A | 103 | 103 | $4K | |
| 90620 | 90 | 82 | $3K | |
| 0001A | 99 | 92 | $2K | |
| 0072A | 29 | 27 | $1K | |
| 0012A | 20 | 17 | $600.00 | |
| 0124A | 15 | 15 | $520.00 | |
| 0064A | 12 | 12 | $440.00 | |
| 90633 | 143 | 121 | $402.11 | |
| 0071A | 16 | 16 | $400.00 | |
| 90670 | 72 | 67 | $373.14 | |
| 0011A | 21 | 16 | $363.28 | |
| 90715 | 96 | 91 | $312.43 | |
| 90471 | 153 | 147 | $291.34 | |
| 90656 | 48 | 47 | $215.85 | |
| 91307 | 57 | 49 | $14.00 | |
| 91312 | 14 | 14 | $8.00 | |
| 91300 | 300 | 268 | $5.00 | |
| 90710 | 16 | 16 | $0.00 | |
| 91301 | 97 | 75 | $0.00 | |
| 90696 | 15 | 15 | $0.00 |