NPI: 1205883980 · KENNETT, MO 63857 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,470 | $2.91M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X4011 | 3,251 | 2,784 | $549K | |
| 85025 | 2,727 | 2,092 | $420K | |
| 87430 | 1,748 | 1,334 | $308K | |
| 87804 | 1,730 | 1,329 | $293K | |
| 99283 | 1,126 | 1,096 | $237K | |
| 99284 | 576 | 566 | $146K | |
| 80053 | 1,615 | 1,327 | $143K | |
| 81001 | 1,027 | 814 | $128K | |
| 86738 | 406 | 294 | $72K | |
| 71045 | 661 | 540 | $59K | |
| 84703 | 322 | 225 | $59K | |
| 87086 | 404 | 319 | $43K | |
| 93005 | 514 | 427 | $43K | |
| 99282 | 183 | 183 | $35K | |
| 83690 | 313 | 248 | $33K | |
| 94640 | 204 | 165 | $29K | |
| 70450 | 222 | 186 | $23K | |
| 84484 | 456 | 372 | $20K | |
| 99285 | 149 | 143 | $20K | |
| 99281 | 119 | 119 | $20K | |
| J3490 | Drugs unclassified injection | 787 | 595 | $19K |
| 80048 | 144 | 107 | $18K | |
| 87420 | 82 | 62 | $17K | |
| 59025 | 116 | 60 | $13K | |
| 82150 | 143 | 115 | $13K | |
| 96374 | 77 | 67 | $12K | |
| 72148 | 124 | 116 | $11K | |
| X4003 | 96 | 55 | $11K | |
| Y7506 | 88 | 43 | $10K | |
| 87040 | 106 | 88 | $9K | |
| 80306 | 44 | 29 | $8K | |
| 71046 | 52 | 41 | $6K | |
| 82550 | 54 | 45 | $6K | |
| 0000000 | 228 | 130 | $5K | |
| G0463 | Hospital outpt clinic visit | 319 | 140 | $5K |
| 72141 | 34 | 34 | $5K | |
| 83550 | 75 | 70 | $5K | |
| 83540 | 74 | 69 | $5K | |
| 87077 | 99 | 85 | $4K | |
| 99213 | 18 | 15 | $4K | |
| 87186 | 80 | 69 | $3K | |
| 82607 | 15 | 13 | $3K | |
| 82728 | 15 | 13 | $3K | |
| 84165 | 15 | 13 | $3K | |
| 76817 | 29 | 25 | $3K | |
| 85610 | 83 | 75 | $2K | |
| 82746 | 13 | 12 | $2K | |
| G0378 | Hospital observation per hr | 26 | 25 | $2K |
| 99214 | 33 | 30 | $2K | |
| 76805 | 17 | 17 | $2K | |
| 85730 | 74 | 67 | $2K | |
| 83036 | 24 | 24 | $2K | |
| 84146 | 22 | 22 | $2K | |
| 80061 | 22 | 22 | $1K | |
| 74176 | 19 | 13 | $1K | |
| 87070 | 66 | 64 | $1K | |
| 87591 | 17 | 15 | $1K | |
| 87491 | 14 | 12 | $923.24 | |
| 83880 | 88 | 69 | $770.96 | |
| 36415 | 817 | 672 | $734.15 | |
| 29581 | 54 | 12 | $491.02 | |
| 80307 | 15 | 12 | $376.70 | |
| 96372 | 46 | 45 | $258.66 | |
| 81025 | 35 | 34 | $249.55 | |
| 80050 | 15 | 13 | $214.31 | |
| 82803 | 15 | 15 | $187.65 | |
| 96375 | 13 | 13 | $71.88 | |
| 82962 | 43 | 30 | $18.34 | |
| 84520 | 17 | 14 | $3.90 | |
| J2270 | Morphine sulfate injection | 94 | 85 | $2.12 |
| 82565 | 17 | 14 | $2.06 | |
| J1885 | Ketorolac tromethamine inj | 53 | 46 | $0.00 |
| J1642 | Inj heparin sodium per 10 u | 18 | 12 | $0.00 |
| J2405 | Ondansetron hcl injection | 33 | 27 | $0.00 |