NPI: 1164596375 · VIRGINIA, IL 62691 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,523 | $614K |
| 2019 | 26,266 | $854K |
| 2020 | 18,737 | $789K |
| 2021 | 24,321 | $1.09M |
| 2022 | 22,395 | $1.13M |
| 2023 | 30,889 | $1.53M |
| 2024 | 30,673 | $1.65M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 33,010 | 21,592 | $3.73M |
| D0999 | 32,637 | 25,474 | $3.54M | |
| T1040 | Comm bh clinic svc per diem | 2,940 | 1,368 | $224K |
| D0120 | 8,987 | 8,801 | $28K | |
| D1120 | 8,761 | 8,585 | $18K | |
| D7140 | 3,968 | 2,672 | $16K | |
| D0220 | 4,277 | 4,112 | $14K | |
| D2391 | 3,421 | 2,738 | $14K | |
| D2392 | 3,285 | 2,707 | $11K | |
| D0140 | 3,735 | 3,584 | $11K | |
| D0150 | 3,404 | 3,359 | $10K | |
| D0210 | 1,705 | 1,680 | $8K | |
| 99214 | 7,213 | 5,713 | $5K | |
| D0274 | 3,486 | 3,422 | $5K | |
| D1110 | 1,112 | 1,089 | $4K | |
| D0272 | 2,582 | 2,518 | $3K | |
| D9230 | 334 | 267 | $3K | |
| D1208 | 4,712 | 4,558 | $3K | |
| D2331 | 173 | 158 | $2K | |
| 99213 | 8,183 | 6,649 | $2K | |
| 96127 | 7,067 | 5,992 | $1K | |
| 90651 | 114 | 96 | $826.05 | |
| 90832 | 6,948 | 3,245 | $809.80 | |
| D1206 | 3,767 | 3,752 | $688.40 | |
| D2393 | 486 | 438 | $662.40 | |
| D2332 | 72 | 63 | $441.60 | |
| 87426 | 99 | 89 | $423.96 | |
| D1351 | 1,116 | 607 | $326.40 | |
| 99202 | 82 | 73 | $295.68 | |
| 90791 | 372 | 281 | $283.90 | |
| 90734 | 87 | 73 | $233.35 | |
| 99394 | 98 | 86 | $177.70 | |
| 90686 | 554 | 467 | $159.78 | |
| 90715 | 66 | 59 | $130.94 | |
| D2330 | 214 | 168 | $104.36 | |
| 99211 | 12 | 12 | $103.04 | |
| 99212 | 3,229 | 2,902 | $102.60 | |
| D2335 | 46 | 43 | $93.19 | |
| 96372 | 1,018 | 865 | $58.91 | |
| D0330 | 547 | 546 | $43.58 | |
| 90633 | 38 | 30 | $39.29 | |
| 90834 | 302 | 199 | $36.47 | |
| 99406 | 1,183 | 1,012 | $35.19 | |
| D0230 | 379 | 365 | $4.48 | |
| 36415 | 518 | 412 | $0.00 | |
| D0603 | 77 | 77 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 1,086 | 1,020 | $0.00 |
| 99441 | 132 | 114 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 12 | 12 | $0.00 |
| 99443 | 47 | 41 | $0.00 | |
| D0602 | 57 | 57 | $0.00 | |
| 90619 | 74 | 70 | $0.00 | |
| 90471 | 184 | 139 | $0.00 | |
| 90696 | 13 | 13 | $0.00 | |
| 99384 | 20 | 12 | $0.00 | |
| 90656 | 81 | 57 | $0.00 | |
| 87807 | 15 | 15 | $0.00 | |
| 99383 | 18 | 14 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 454 | 366 | $0.00 |
| 87880 | 331 | 299 | $0.00 | |
| 87804 | 216 | 209 | $0.00 | |
| 99392 | 71 | 63 | $0.00 | |
| 99393 | 100 | 82 | $0.00 | |
| 90837 | 38 | 28 | $0.00 | |
| 99203 | 216 | 204 | $0.00 | |
| 99442 | 96 | 78 | $0.00 | |
| 99215 | Prolong outpt/office vis | 20 | 12 | $0.00 |
| D4341 | 19 | 12 | $0.00 | |
| 99204 | 48 | 47 | $0.00 | |
| 90710 | 12 | 12 | $0.00 | |
| 90833 | 12 | 12 | $0.00 | |
| 90685 | 16 | 12 | $0.00 |