NPI: 1073999520 · BRIDGETON, MO 63044 · 207RR0500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 397 | $6K |
| 2019 | 348 | $4K |
| 2020 | 262 | $3K |
| 2021 | 604 | $21K |
| 2022 | 1,511 | $80K |
| 2023 | 1,790 | $103K |
| 2024 | 972 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J1602 | Golimumab for iv use 1mg | 1,188 | 426 | $192K |
| 99214 | 2,862 | 2,186 | $67K | |
| 96413 | 674 | 430 | $12K | |
| 96365 | 938 | 391 | $5K | |
| 99215 | Prolong outpt/office vis | 35 | 24 | $963.86 |
| 20611 | 23 | 12 | $384.62 | |
| G2211 | Complex e/m visit add on | 141 | 123 | $309.66 |
| G2064 | Md mang high risk dx 30 | 23 | 19 | $206.64 |