NPI: 1174630099 · MOUNT VERNON, IL 62864 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,522 | $59K |
| 2019 | 7,765 | $99K |
| 2020 | 6,080 | $80K |
| 2021 | 6,629 | $104K |
| 2022 | 8,204 | $155K |
| 2023 | 11,597 | $285K |
| 2024 | 10,192 | $254K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70450 | 4,652 | 4,195 | $251K | |
| 74177 | 4,480 | 3,993 | $200K | |
| 71260 | 1,647 | 1,490 | $72K | |
| 74176 | 1,638 | 1,512 | $59K | |
| 71045 | 13,993 | 10,731 | $48K | |
| 71275 | 486 | 391 | $48K | |
| 71250 | 1,441 | 1,322 | $40K | |
| 71046 | 7,229 | 6,630 | $37K | |
| 72125 | 1,164 | 1,024 | $36K | |
| 73630 | 2,829 | 2,422 | $31K | |
| 76705 | 1,776 | 1,639 | $30K | |
| 73610 | 1,906 | 1,647 | $27K | |
| 73564 | 1,808 | 1,513 | $21K | |
| 72110 | 1,123 | 992 | $18K | |
| 73030 | 1,615 | 1,378 | $16K | |
| 73130 | 1,522 | 1,247 | $15K | |
| 73110 | 973 | 828 | $11K | |
| 74018 | 2,274 | 1,949 | $9K | |
| 72100 | 731 | 669 | $9K | |
| 70498 | 56 | 40 | $6K | |
| 70496 | 55 | 39 | $6K | |
| 70486 | 149 | 134 | $5K | |
| 72131 | 133 | 125 | $5K | |
| 76536 | 162 | 152 | $4K | |
| 73502 | 762 | 640 | $4K | |
| 71271 | 109 | 105 | $4K | |
| 76856 | 85 | 78 | $3K | |
| 78452 | 67 | 60 | $3K | |
| 76700 | 104 | 102 | $3K | |
| 78815 | 60 | 59 | $2K | |
| 76830 | 56 | 52 | $2K | |
| 76775 | 116 | 109 | $2K | |
| 73080 | 144 | 121 | $1K | |
| 73521 | 181 | 166 | $1K | |
| 76815 | 32 | 25 | $968.33 | |
| 74240 | 44 | 44 | $959.35 | |
| 72148 | 12 | 12 | $866.77 | |
| 73590 | 74 | 61 | $704.56 | |
| 73090 | 75 | 69 | $626.69 | |
| 70553 | 12 | 12 | $606.39 | |
| 72128 | 13 | 12 | $483.97 | |
| 72050 | 33 | 29 | $483.30 | |
| 73140 | 44 | 40 | $461.49 | |
| 76817 | 14 | 13 | $389.88 | |
| 76770 | 13 | 12 | $341.99 | |
| 72072 | 20 | 13 | $205.43 | |
| 73560 | 23 | 15 | $164.06 | |
| 72020 | 13 | 13 | $122.52 | |
| 73060 | 12 | 12 | $95.63 | |
| 72170 | 13 | 12 | $66.38 | |
| G9637 | Doc >1 dose reduc tech | 16 | 14 | $0.00 |