NPI: 1174858112 · FORT WAYNE, IN 46802 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 667 | $11K |
| 2019 | 630 | $19K |
| 2020 | 192 | $6K |
| 2021 | 764 | $29K |
| 2022 | 751 | $25K |
| 2023 | 813 | $24K |
| 2024 | 855 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,987 | 1,804 | $57K | |
| 99214 | 722 | 664 | $30K | |
| 92083 | 1,188 | 1,100 | $24K | |
| 99204 | 327 | 306 | $15K | |
| 92250 | 160 | 150 | $4K | |
| 66984 | 17 | 12 | $4K | |
| 99157 | 16 | 13 | $2K | |
| 92133 | 68 | 64 | $1K | |
| 92134 | 62 | 52 | $681.03 | |
| 76519 | 13 | 12 | $433.63 | |
| 99156 | 16 | 13 | $429.26 | |
| 92136 | 12 | 12 | $281.45 | |
| 83861 | 25 | 14 | $270.66 | |
| 99152 | 18 | 14 | $208.62 | |
| 92286 | 12 | 12 | $100.96 | |
| 99153 | Mod sedat endo service >5yrs | 16 | 14 | $72.25 |
| 92020 | 13 | 13 | $0.00 |