NPI: 1154415958 · SUMTER, SC 29150 · 1223E0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 45,855 | $1.52M |
| 2019 | 43,162 | $1.50M |
| 2020 | 24,480 | $853K |
| 2021 | 8,363 | $284K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 13,305 | 13,305 | $462K | |
| D2391 | 5,420 | 4,123 | $413K | |
| D1110 | 7,464 | 7,464 | $374K | |
| D2930 | 2,743 | 714 | $344K | |
| D2392 | 3,154 | 2,576 | $315K | |
| D0120 | 13,134 | 13,134 | $300K | |
| D0150 | 6,821 | 6,821 | $274K | |
| D1206 | 16,260 | 16,260 | $263K | |
| D0330 | 4,576 | 4,576 | $229K | |
| D0274 | 7,238 | 7,238 | $197K | |
| D0272 | 10,000 | 10,000 | $189K | |
| D0220 | 10,404 | 10,341 | $133K | |
| D1351 | 4,298 | 1,636 | $129K | |
| D0140 | 2,383 | 2,370 | $89K | |
| D0230 | 7,071 | 6,844 | $73K | |
| D7140 | 773 | 537 | $67K | |
| D7240 | 214 | 62 | $60K | |
| D0145 | 1,591 | 1,591 | $57K | |
| D1208 | 3,443 | 3,443 | $56K | |
| D9222 | 483 | 483 | $44K | |
| D9223 | 442 | 441 | $40K | |
| D7210 | 137 | 83 | $19K | |
| D2934 | 125 | 39 | $16K | |
| D2393 | 93 | 80 | $11K | |
| D7111 | 88 | 69 | $6K | |
| D9230 | 150 | 150 | $5K | |
| D3220 | 23 | 12 | $2K | |
| D2330 | 27 | 24 | $2K |