NPI: 1083680417 · BROOKFIELD, WI 53045 · 207RA0401X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,072 | $209K |
| 2019 | 1,218 | $76K |
| 2020 | 831 | $38K |
| 2021 | 2,621 | $464K |
| 2022 | 519 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 80307 | 5,193 | 1,394 | $243K | |
| Q9991 | Buprenorph xr 100 mg or less | 253 | 139 | $225K |
| Q9992 | Buprenorphine xr over 100 mg | 219 | 125 | $207K |
| 99354 | 688 | 395 | $54K | |
| 99214 | 732 | 457 | $18K | |
| 99213 | 676 | 429 | $17K | |
| 99211 | 1,345 | 281 | $15K | |
| 99212 | 372 | 122 | $7K | |
| 99215 | Prolong outpt/office vis | 301 | 174 | $6K |
| 80305 | 218 | 121 | $3K | |
| G2212 | Prolong outpt/office vis | 20 | 17 | $349.86 |
| 96372 | 217 | 182 | $271.42 | |
| 96373 | 14 | 12 | $63.12 | |
| J2315 | Naltrexone, depot form | 13 | 12 | $0.00 |