NPI: 1083654883 · JEFFERSON, IA 50129 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,193 | $328K |
| 2019 | 5,280 | $326K |
| 2020 | 3,870 | $223K |
| 2021 | 4,452 | $296K |
| 2022 | 3,918 | $192K |
| 2023 | 3,350 | $161K |
| 2024 | 2,737 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | 1,994 | 1,808 | $426K | |
| 99285 | 715 | 626 | $319K | |
| 99283 | 2,149 | 2,004 | $309K | |
| 80053 | 3,270 | 2,878 | $136K | |
| 85025 | 4,110 | 3,555 | $134K | |
| 99211 | 8,197 | 7,631 | $74K | |
| 36415 | 3,630 | 2,935 | $50K | |
| 87428 | 365 | 345 | $23K | |
| 0241U | 226 | 224 | $20K | |
| 84443 | 316 | 307 | $18K | |
| 87880 | 413 | 384 | $14K | |
| 71046 | 124 | 109 | $14K | |
| 96374 | 116 | 102 | $11K | |
| 81001 | 603 | 553 | $9K | |
| 99281 | 1,187 | 968 | $9K | |
| 87400 | 199 | 190 | $7K | |
| U0003 | Cov-19 amp prb hgh thruput | 79 | 78 | $6K |
| 85027 | 165 | 155 | $5K | |
| 80048 | 121 | 116 | $5K | |
| 80061 | 79 | 76 | $5K | |
| 93005 | 65 | 60 | $5K | |
| 96372 | 59 | 52 | $4K | |
| 84439 | 71 | 70 | $3K | |
| 96375 | 38 | 36 | $3K | |
| 96361 | 77 | 62 | $2K | |
| 94760 | 128 | 118 | $2K | |
| 87804 | 57 | 55 | $2K | |
| 87081 | 73 | 56 | $1K | |
| 82306 | 13 | 13 | $946.40 | |
| 83036 | 25 | 25 | $826.19 | |
| J2405 | Ondansetron hcl injection | 20 | 14 | $777.46 |
| 84484 | 14 | 13 | $617.14 | |
| 80307 | 12 | 12 | $605.97 | |
| 82607 | 13 | 12 | $581.98 | |
| J1885 | Ketorolac tromethamine inj | 16 | 14 | $394.53 |
| 87430 | 14 | 12 | $368.60 | |
| 86140 | 12 | 12 | $334.05 | |
| 83690 | 15 | 12 | $325.70 | |
| A9270 | Non-covered item or service | 20 | 15 | $0.00 |