NPI: 1083943179 · LA CROSSE, WI 54601 · 207RA0002X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,371 | $61K |
| 2019 | 2,981 | $110K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 78452 | 598 | 593 | $78K | |
| 93306 | 198 | 198 | $17K | |
| 93015 | 687 | 684 | $16K | |
| J2785 | Regadenoson injection | 260 | 257 | $12K |
| A9555 | Rb82 rubidium | 77 | 77 | $8K |
| A9500 | Tc99m sestamibi | 593 | 588 | $8K |
| 99213 | 257 | 245 | $7K | |
| A9505 | Tl201 thallium | 558 | 554 | $7K |
| 99212 | 409 | 385 | $7K | |
| 78492 | 78 | 78 | $4K | |
| 93000 | 479 | 472 | $3K | |
| 99203 | 54 | 54 | $2K | |
| 93880 | 18 | 18 | $1K | |
| 93923 | 15 | 15 | $1K | |
| G0235 | Pet not otherwise specified | 71 | 71 | $0.00 |