NPI: 1104995885 · SOUTH BEND, IN 46616 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,929 | $192K |
| 2019 | 5,365 | $510K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D4212 | 1,161 | 414 | $351K | |
| D7210 | 1,038 | 453 | $126K | |
| D2161 | 467 | 233 | $42K | |
| D2160 | 507 | 290 | $37K | |
| D1110 | 956 | 921 | $32K | |
| D0140 | 810 | 756 | $22K | |
| D0274 | 746 | 712 | $19K | |
| D0120 | 1,090 | 1,037 | $16K | |
| D0150 | 510 | 485 | $11K | |
| D1208 | 673 | 629 | $9K | |
| D0330 | 171 | 162 | $8K | |
| D1120 | 365 | 334 | $7K | |
| D0220 | 901 | 830 | $7K | |
| D2150 | 115 | 71 | $7K | |
| D0230 | 615 | 389 | $4K | |
| D0210 | 102 | 80 | $3K | |
| D0272 | 67 | 62 | $975.03 |