NPI: 1184371668 · CALUMET PARK, IL 60827 · 163WG0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 903 | $33K |
| 2023 | 4,746 | $184K |
| 2024 | 3,969 | $159K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,143 | 1,888 | $105K | |
| 99214 | 1,343 | 1,187 | $103K | |
| 87811 | 1,269 | 1,124 | $51K | |
| 87804 | 1,106 | 975 | $34K | |
| 99203 | 662 | 615 | $32K | |
| 99204 | 338 | 313 | $27K | |
| 87880 | 913 | 810 | $14K | |
| 81025 | 677 | 571 | $4K | |
| 87807 | 208 | 180 | $2K | |
| 81002 | 725 | 622 | $2K | |
| 87905 | 78 | 57 | $797.03 | |
| 96372 | 38 | 27 | $343.39 | |
| 87808 | 21 | 13 | $305.51 | |
| 86318 | 15 | 13 | $251.81 | |
| J1885 | Ketorolac tromethamine inj | 19 | 12 | $37.63 |
| 36415 | 63 | 59 | $0.00 |