NPI: 1164768099 · CENTERVILLE, IA 52544 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 607 | $29K |
| 2020 | 1,316 | $15K |
| 2022 | 179 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,184 | 134 | $48K | |
| 84520 | 89 | 49 | $48.03 | |
| 84100 | 14 | 12 | $4.50 | |
| 85018 | 217 | 97 | $2.25 | |
| 82108 | 15 | 12 | $0.00 | |
| 83540 | 122 | 110 | $0.00 | |
| 84155 | 64 | 61 | $0.00 | |
| 83970 | 29 | 24 | $0.00 | |
| 83550 | 122 | 110 | $0.00 | |
| 84075 | 29 | 24 | $0.00 | |
| 82728 | 29 | 24 | $0.00 | |
| 87340 | 15 | 12 | $0.00 | |
| A4657 | Syringe w/wo needle | 46 | 12 | $0.00 |
| 85027 | 97 | 86 | $0.00 | |
| 86706 | 15 | 12 | $0.00 | |
| 83735 | 15 | 12 | $0.00 |