NPI: 1194036665 · MOUNT VERNON, IL 62864 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,667 | $177K |
| 2019 | 1,916 | $58K |
| 2020 | 542 | $14K |
| 2021 | 27 | $552.52 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1502 | Medication admin visit | 4,530 | 271 | $81K |
| H0004 | Alcohol and/or drug services | 1,884 | 337 | $72K |
| H2015 | Comp comm supp svc, 15 min | 1,158 | 227 | $68K |
| T1016 | Case management | 506 | 195 | $24K |
| H2010 | Comprehensive med svc 15 min | 33 | 27 | $2K |
| H2000 | Comp multidisipln evaluation | 41 | 26 | $2K |