NPI: 1114278009 · BLUE ISLAND, IL 60406 · 261QC1500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,150 | $236K |
| 2019 | 8,847 | $457K |
| 2020 | 4,252 | $221K |
| 2021 | 4,200 | $288K |
| 2022 | 5,989 | $390K |
| 2023 | 7,673 | $484K |
| 2024 | 3,874 | $350K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 12,618 | 8,503 | $1.81M |
| D0999 | 7,014 | 4,539 | $602K | |
| 0012A | 61 | 58 | $3K | |
| 0011A | 64 | 59 | $2K | |
| D0210 | 822 | 672 | $1K | |
| D0150 | 2,011 | 1,690 | $894.16 | |
| D0140 | 1,020 | 864 | $424.12 | |
| D4355 | 30 | 15 | $287.00 | |
| 99213 | 1,862 | 1,444 | $263.13 | |
| D1110 | 307 | 254 | $246.00 | |
| 99212 | 4,269 | 3,295 | $203.00 | |
| D0220 | 1,779 | 1,536 | $147.62 | |
| D0230 | 1,254 | 870 | $143.26 | |
| D0120 | 261 | 229 | $84.00 | |
| 99203 | 71 | 61 | $45.82 | |
| D1120 | 687 | 587 | $41.00 | |
| D0274 | 525 | 465 | $36.84 | |
| 90832 | 212 | 104 | $29.48 | |
| D1208 | 170 | 150 | $26.00 | |
| 99395 | 79 | 65 | $10.00 | |
| 99442 | 26 | 12 | $2.00 | |
| 99441 | 35 | 24 | $2.00 | |
| D0330 | 54 | 54 | $0.00 | |
| 99396 | 265 | 192 | $0.00 | |
| 99394 | 76 | 63 | $0.00 | |
| 99215 | Prolong outpt/office vis | 129 | 121 | $0.00 |
| 99393 | 104 | 96 | $0.00 | |
| D0270 | 19 | 14 | $0.00 | |
| 90791 | 21 | 16 | $0.00 | |
| D4341 | 17 | 12 | $0.00 | |
| 99385 | 225 | 158 | $0.00 | |
| D1206 | 230 | 185 | $0.00 | |
| 99214 | 763 | 583 | $0.00 | |
| D0603 | 575 | 466 | $0.00 | |
| D7140 | 54 | 37 | $0.00 | |
| D1351 | 33 | 15 | $0.00 | |
| D0601 | 93 | 67 | $0.00 | |
| 99386 | 78 | 71 | $0.00 | |
| D0602 | 59 | 45 | $0.00 | |
| 99383 | 13 | 13 | $0.00 |