NPI: 1215973870 · LIVE OAK, FL 32064 · 1223D0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 562 | $14K |
| 2020 | 553 | $22K |
| 2021 | 285 | $21K |
| 2022 | 405 | $27K |
| 2023 | 678 | $25K |
| 2024 | 525 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99403 | 600 | 560 | $79K | |
| D0150 | 119 | 114 | $8K | |
| D0120 | 100 | 100 | $7K | |
| D0220 | 243 | 221 | $5K | |
| 99211 | 27 | 24 | $4K | |
| 99402 | 28 | 26 | $3K | |
| D1110 | 15 | 15 | $2K | |
| D1120 | 145 | 145 | $1K | |
| 90471 | 262 | 245 | $1K | |
| D1351 | 74 | 27 | $1K | |
| D2391 | 22 | 14 | $999.88 | |
| D1206 | 269 | 269 | $982.19 | |
| D0230 | 198 | 156 | $810.75 | |
| D0272 | 93 | 93 | $631.27 | |
| D0240 | 18 | 14 | $571.32 | |
| 90473 | 136 | 126 | $378.40 | |
| D9999 | 18 | 18 | $360.00 | |
| 90672 | 109 | 102 | $324.50 | |
| 90472 | 56 | 56 | $322.50 | |
| D1330 | 269 | 269 | $261.64 | |
| 90686 | 83 | 82 | $121.00 | |
| 90715 | 31 | 31 | $110.00 | |
| J1050 | Medroxyprogesterone acetate | 55 | 52 | $62.47 |
| D9986 | 26 | 25 | $0.00 | |
| D0191 | 12 | 12 | $0.00 |