NPI: 1144493040 · LIBERAL, KS 67901 · 208600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,234 | $80K |
| 2019 | 6,165 | $80K |
| 2020 | 4,592 | $85K |
| 2021 | 4,192 | $68K |
| 2022 | 4,855 | $66K |
| 2023 | 5,432 | $118K |
| 2024 | 3,894 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 15,300 | 11,755 | $354K | |
| 99214 | 3,344 | 2,297 | $69K | |
| 99203 | 490 | 436 | $24K | |
| 99233 | Prolong inpt eval add15 m | 1,049 | 386 | $21K |
| 90460 | 442 | 429 | $19K | |
| 59400 | 16 | 16 | $18K | |
| 99392 | 199 | 197 | $15K | |
| 36415 | 1,804 | 1,592 | $8K | |
| 99391 | 83 | 80 | $6K | |
| 81001 | 3,242 | 2,499 | $6K | |
| 81002 | 2,089 | 1,411 | $6K | |
| 99239 | 192 | 143 | $4K | |
| 96372 | 327 | 287 | $4K | |
| 87635 | 102 | 97 | $3K | |
| 99232 | 406 | 144 | $3K | |
| 81003 | 2,264 | 1,532 | $3K | |
| 90471 | 217 | 205 | $3K | |
| 87880 | 556 | 503 | $3K | |
| 99223 | Prolong inpt eval add15 m | 42 | 40 | $2K |
| 87804 | 262 | 196 | $2K | |
| 87502 | 39 | 35 | $2K | |
| 99222 | 55 | 39 | $1K | |
| 96127 | 789 | 686 | $961.42 | |
| 99212 | 48 | 40 | $927.76 | |
| 87651 | 103 | 92 | $896.45 | |
| 93010 | 172 | 77 | $420.03 | |
| 90674 | 15 | 15 | $328.44 | |
| 99309 | 23 | 15 | $255.41 | |
| 51798 | 34 | 25 | $138.11 | |
| J0696 | Ceftriaxone sodium injection | 62 | 57 | $98.22 |
| G2012 | Brief check in by md/qhp | 160 | 113 | $65.89 |
| J3301 | Triamcinolone acet inj nos | 27 | 22 | $48.84 |
| 90686 | 68 | 67 | $22.32 | |
| J1100 | Dexamethasone sodium phos | 50 | 44 | $13.72 |
| 90656 | 71 | 68 | $0.39 | |
| 90715 | 39 | 39 | $0.31 | |
| 90461 | 144 | 142 | $0.00 | |
| 90670 | 24 | 24 | $0.00 | |
| 99442 | 15 | 15 | $0.00 |