NPI: 1174549786 · BERWYN, IL 60402 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,485 | $105K |
| 2019 | 13,732 | $381K |
| 2020 | 5,939 | $238K |
| 2021 | 6,686 | $218K |
| 2022 | 1,975 | $90K |
| 2023 | 4,334 | $110K |
| 2024 | 2,176 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 7,368 | 6,561 | $674K | |
| T1015 | Clinic service | 5,119 | 2,743 | $496K |
| D0120 | 3,281 | 3,121 | $8K | |
| D0274 | 701 | 663 | $4K | |
| D0272 | 1,058 | 1,011 | $4K | |
| D2392 | 273 | 231 | $4K | |
| 0124A | 85 | 82 | $4K | |
| 0064A | 68 | 68 | $3K | |
| 0001A | 63 | 63 | $3K | |
| 0002A | 60 | 57 | $3K | |
| D0150 | 959 | 908 | $2K | |
| D1120 | 3,581 | 3,421 | $2K | |
| D2391 | 121 | 105 | $2K | |
| D0220 | 1,249 | 1,124 | $2K | |
| 0072A | 43 | 43 | $2K | |
| 0012A | 40 | 36 | $2K | |
| 0004A | 32 | 32 | $1K | |
| 90686 | 229 | 190 | $1K | |
| 0071A | 28 | 28 | $1K | |
| D1206 | 2,770 | 2,646 | $991.64 | |
| 0011A | 13 | 12 | $522.62 | |
| D1351 | 424 | 202 | $107.64 | |
| D0230 | 458 | 397 | $64.60 | |
| 90670 | 63 | 36 | $31.66 | |
| 81025 | 28 | 28 | $10.34 | |
| 81002 | 332 | 131 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 489 | 297 | $0.00 |
| 99212 | 71 | 56 | $0.00 | |
| 99391 | 62 | 25 | $0.00 | |
| 0502F | 427 | 216 | $0.00 | |
| 90472 | 240 | 146 | $0.00 | |
| 99392 | 138 | 74 | $0.00 | |
| H0050 | Alcohol/drug service 15 min | 190 | 96 | $0.00 |
| 99393 | 144 | 71 | $0.00 | |
| 99213 | 1,776 | 1,026 | $0.00 | |
| 96127 | 1,659 | 698 | $0.00 | |
| 90471 | 953 | 690 | $0.00 | |
| G8420 | Calc bmi norm parameters | 114 | 62 | $0.00 |
| 96110 | 467 | 312 | $0.00 | |
| D1208 | 27 | 26 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 801 | 445 | $0.00 |
| 3008F | 1,138 | 705 | $0.00 | |
| 82962 | 56 | 12 | $0.00 | |
| D0140 | 35 | 34 | $0.00 | |
| S5190 | Wellness assessment by nonph | 60 | 55 | $0.00 |
| D0210 | 15 | 14 | $0.00 | |
| D7140 | 19 | 13 | $0.00 |