NPI: 1174191605 · SAINT CHARLES, MO 63303 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 842 | $16K |
| 2022 | 1,305 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 494 | 290 | $10K | |
| 0001A | 350 | 281 | $9K | |
| 0013A | 299 | 148 | $3K | |
| 0004A | 224 | 123 | $2K | |
| 0064A | 244 | 142 | $2K | |
| 0134A | 51 | 27 | $800.00 | |
| 0012A | 48 | 27 | $680.00 | |
| 0053A | 58 | 27 | $640.00 | |
| 0051A | 58 | 25 | $640.00 | |
| 0124A | 43 | 18 | $600.00 | |
| 0094A | 26 | 17 | $320.00 | |
| 0011A | 16 | 13 | $280.00 | |
| 0052A | 25 | 12 | $160.00 | |
| M0201 | Pne flu hepb cov home admin | 211 | 188 | $0.00 |