NPI: 1104413806 · LAFAYETTE, LA 70508 · 261QR0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 995 | $77K |
| 2023 | 1,536 | $141K |
| 2024 | 1,162 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 73721 | 707 | 653 | $139K | |
| 73221 | 279 | 271 | $48K | |
| 72148 | 274 | 237 | $38K | |
| 77067 | 262 | 240 | $19K | |
| 70553 | 62 | 52 | $18K | |
| 72197 | 69 | 68 | $16K | |
| 77063 | 264 | 240 | $8K | |
| 72141 | 57 | 55 | $7K | |
| 71271 | 78 | 77 | $6K | |
| 76705 | 105 | 94 | $5K | |
| 76536 | 58 | 56 | $3K | |
| 76856 | 47 | 44 | $3K | |
| A9575 | Inj gadoterate meglumi 0.1ml | 850 | 733 | $3K |
| 73200 | 24 | 24 | $3K | |
| 76830 | 32 | 30 | $2K | |
| 71250 | 16 | 14 | $2K | |
| 71046 | 27 | 27 | $404.70 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 482 | 407 | $80.50 |