NPI: 1093720989 · WEST BEND, WI 53095 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 46 | $1K |
| 2019 | 53 | $1K |
| 2020 | 105 | $1K |
| 2021 | 1,465 | $25K |
| 2022 | 396 | $6K |
| 2023 | 170 | $9K |
| 2024 | 12 | $403.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 328 | 310 | $11K | |
| 0002A | 268 | 264 | $10K | |
| 91320 | 80 | 55 | $7K | |
| 90674 | 164 | 141 | $5K | |
| 90686 | 185 | 156 | $4K | |
| 0124A | 81 | 81 | $3K | |
| 0004A | 59 | 59 | $2K | |
| 0054A | 24 | 24 | $915.84 | |
| 0071A | 19 | 19 | $725.04 | |
| A4627 | Spacer bag/reservoir | 69 | 56 | $577.75 |
| 0072A | 14 | 14 | $534.24 | |
| 90656 | 12 | 12 | $403.50 | |
| 91307 | 47 | 42 | $0.00 | |
| 91305 | 96 | 92 | $0.00 | |
| 91300 | 720 | 626 | $0.00 | |
| 91312 | 81 | 81 | $0.00 |