NPI: 1205887445 · RONCEVERTE, WV 24970 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,380 | $267K |
| 2019 | 6,636 | $146K |
| 2020 | 7,774 | $161K |
| 2021 | 9,910 | $127K |
| 2022 | 3,030 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74176 | 3,196 | 2,965 | $178K | |
| 74177 | 2,598 | 2,416 | $150K | |
| 70450 | 4,284 | 3,948 | $113K | |
| 71045 | 12,762 | 8,806 | $76K | |
| 71046 | 6,756 | 6,294 | $61K | |
| 77067 | 2,006 | 1,956 | $40K | |
| 71275 | 363 | 341 | $21K | |
| 76770 | 476 | 421 | $12K | |
| 76705 | 476 | 435 | $10K | |
| 76700 | 371 | 341 | $9K | |
| 73562 | 811 | 739 | $7K | |
| 71250 | 153 | 151 | $6K | |
| 71260 | 91 | 91 | $5K | |
| 74018 | 595 | 548 | $4K | |
| 73030 | 405 | 368 | $4K | |
| 73630 | 518 | 464 | $3K | |
| 72110 | 310 | 298 | $3K | |
| 73610 | 449 | 377 | $3K | |
| 76641 | 74 | 69 | $3K | |
| 93971 | 172 | 163 | $3K | |
| 76830 | 122 | 112 | $3K | |
| 72100 | 320 | 301 | $3K | |
| 72125 | 115 | 112 | $3K | |
| 76536 | 160 | 140 | $3K | |
| 76642 | 47 | 43 | $2K | |
| 74019 | 172 | 157 | $2K | |
| 78452 | 60 | 57 | $2K | |
| 73130 | 200 | 171 | $1K | |
| 73110 | 222 | 181 | $1K | |
| 74022 | 118 | 95 | $1K | |
| 72148 | 13 | 13 | $964.14 | |
| 73502 | 56 | 53 | $537.86 | |
| 72050 | 52 | 48 | $521.82 | |
| 73721 | 12 | 12 | $472.65 | |
| 77065 | Tomosynthesis, mammo | 12 | 12 | $428.45 |
| 72131 | 14 | 13 | $273.64 | |
| 73090 | 13 | 13 | $186.60 | |
| G9637 | Doc >1 dose reduc tech | 108 | 90 | $0.00 |
| G9551 | Imag no les | 48 | 39 | $0.00 |