NPI: 1154556520 · SAINT LOUIS, MO 63141 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,645 | $29K |
| 2019 | 2,564 | $77K |
| 2020 | 2,501 | $46K |
| 2021 | 1,530 | $30K |
| 2022 | 541 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70450 | 1,726 | 1,635 | $101K | |
| 74177 | 556 | 524 | $25K | |
| 77067 | 482 | 477 | $11K | |
| 74176 | 272 | 257 | $10K | |
| 77063 | 476 | 473 | $9K | |
| 71045 | 2,135 | 1,793 | $7K | |
| 76642 | 303 | 210 | $7K | |
| 71046 | 1,287 | 1,177 | $7K | |
| 76705 | 222 | 218 | $4K | |
| 72125 | 128 | 108 | $3K | |
| 76700 | 97 | 95 | $2K | |
| G0279 | Tomosynthesis, mammo | 71 | 66 | $1K |
| 93971 | 115 | 107 | $749.17 | |
| 93880 | 109 | 99 | $659.72 | |
| 73030 | 48 | 39 | $561.48 | |
| 77080 | 51 | 51 | $480.13 | |
| 77066 | Tomosynthesis, mammo | 15 | 12 | $451.80 |
| 77065 | Tomosynthesis, mammo | 16 | 12 | $428.02 |
| 72100 | 27 | 27 | $318.99 | |
| 73560 | 35 | 30 | $287.01 | |
| 74018 | 42 | 42 | $180.63 | |
| 93970 | 13 | 12 | $156.42 | |
| 73562 | 16 | 12 | $137.42 | |
| 73502 | 16 | 12 | $133.42 | |
| 7025F | 190 | 189 | $0.00 | |
| G9637 | Doc >1 dose reduc tech | 291 | 255 | $0.00 |
| 3341F | 27 | 27 | $0.00 | |
| G9551 | Imag no les | 15 | 14 | $0.00 |