NPI: 1174576490 · MATTOON, IL 61938 · 207RH0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 797 | $24K |
| 2023 | 1,613 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 96413 | 523 | 290 | $36K | |
| 99214 | 186 | 146 | $12K | |
| 99213 | 129 | 122 | $5K | |
| 96367 | 231 | 121 | $4K | |
| 96375 | 262 | 121 | $4K | |
| 80053 | 259 | 198 | $3K | |
| 85025 | 425 | 332 | $2K | |
| 96365 | 57 | 28 | $1K | |
| J1100 | Dexamethasone sodium phos | 210 | 129 | $241.33 |
| 96372 | 22 | 15 | $176.58 | |
| 83735 | 22 | 13 | $144.32 | |
| J2405 | Ondansetron hcl injection | 84 | 42 | $104.14 |