NPI: 1194980607 · BOLINGBROOK, IL 60440 · 207X00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 265 | $13K |
| 2020 | 396 | $20K |
| 2021 | 1,172 | $25K |
| 2022 | 833 | $14K |
| 2023 | 957 | $14K |
| 2024 | 222 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,018 | 836 | $66K | |
| 99213 | 480 | 411 | $18K | |
| 99203 | 357 | 315 | $16K | |
| 20610 | 53 | 36 | $2K | |
| J1030 | Methylprednisolone 40 mg inj | 15 | 12 | $95.84 |
| J3301 | Triamcinolone acet inj nos | 15 | 12 | $21.25 |
| 1125F | 179 | 153 | $0.00 | |
| 1036F | 219 | 179 | $0.00 | |
| 3008F | 502 | 433 | $0.00 | |
| 1160F | 574 | 493 | $0.00 | |
| 1159F | 433 | 375 | $0.00 |