NPI: 1184635153 · FORT WAYNE, IN 46802 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,969 | $528K |
| 2019 | 24,163 | $973K |
| 2020 | 19,105 | $788K |
| 2021 | 21,344 | $968K |
| 2022 | 24,558 | $1.11M |
| 2023 | 31,674 | $1.08M |
| 2024 | 8,387 | $354K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 32,616 | 29,618 | $2.73M | |
| 99213 | 36,287 | 32,128 | $2.12M | |
| 99393 | 1,548 | 1,409 | $135K | |
| 99239 | 1,534 | 1,371 | $116K | |
| 99394 | 1,141 | 992 | $100K | |
| 99392 | 1,080 | 926 | $91K | |
| 90471 | 7,665 | 6,690 | $89K | |
| 90472 | 2,590 | 2,132 | $53K | |
| 99232 | 1,317 | 666 | $53K | |
| 96127 | 9,231 | 8,191 | $52K | |
| 99391 | 461 | 391 | $38K | |
| 90686 | 4,952 | 4,534 | $31K | |
| 92551 | 3,536 | 3,022 | $29K | |
| 83036 | 3,134 | 2,914 | $21K | |
| 99396 | 126 | 116 | $14K | |
| 99395 | 226 | 210 | $14K | |
| 99238 | 383 | 329 | $12K | |
| 92587 | 725 | 621 | $10K | |
| 81003 | 4,989 | 3,981 | $9K | |
| 99177 | 1,661 | 1,409 | $8K | |
| 87804 | 475 | 217 | $8K | |
| 99460 | 113 | 101 | $8K | |
| 90682 | 153 | 122 | $7K | |
| 90688 | 410 | 385 | $6K | |
| 99173 | 2,994 | 2,561 | $6K | |
| 99204 | 40 | 40 | $6K | |
| 99222 | 63 | 55 | $5K | |
| 99212 | 124 | 121 | $5K | |
| 90834 | 108 | 87 | $3K | |
| 87811 | 93 | 82 | $3K | |
| 0513F | 608 | 554 | $3K | |
| G0444 | Depression screen annual | 198 | 190 | $3K |
| 81025 | 566 | 490 | $2K | |
| J1050 | Medroxyprogesterone acetate | 161 | 147 | $2K |
| 99215 | Prolong outpt/office vis | 15 | 12 | $2K |
| 96372 | 305 | 261 | $2K | |
| 99307 | 542 | 403 | $2K | |
| 96160 | 557 | 478 | $1K | |
| 99203 | 175 | 162 | $1K | |
| 90791 | 18 | 15 | $1K | |
| 99309 | 113 | 97 | $1K | |
| 99308 | 209 | 153 | $1K | |
| 80061 | 229 | 209 | $690.02 | |
| 90651 | 132 | 105 | $512.00 | |
| 99462 | 13 | 13 | $375.84 | |
| 96161 | 25 | 24 | $65.21 | |
| 90715 | 84 | 76 | $40.88 | |
| 1159F | 13,866 | 12,548 | $0.00 | |
| 1160F | 13,845 | 12,532 | $0.00 | |
| 3078F | 85 | 79 | $0.00 | |
| 90648 | 89 | 85 | $0.00 | |
| 90670 | 269 | 209 | $0.00 | |
| 3077F | 335 | 313 | $0.00 | |
| 90734 | 70 | 57 | $0.00 | |
| 90756 | 28 | 24 | $0.00 | |
| 90681 | 12 | 12 | $0.00 | |
| 59425 | 55 | 46 | $0.00 | |
| 90685 | 39 | 38 | $0.00 | |
| 90633 | 51 | 46 | $0.00 | |
| 90671 | 12 | 12 | $0.00 | |
| 3074F | 178 | 171 | $0.00 | |
| 3079F | 186 | 181 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 25 | 20 | $0.00 |
| 3080F | 200 | 186 | $0.00 | |
| 90620 | 54 | 36 | $0.00 | |
| G0008 | Admin influenza virus vac | 24 | 24 | $0.00 |
| 3075F | 14 | 14 | $0.00 | |
| 90723 | 38 | 36 | $0.00 |