NPI: 1225026057 · MONROE, MI 48161 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 431 | $3K |
| 2019 | 410 | $4K |
| 2020 | 432 | $5K |
| 2021 | 1,556 | $10K |
| 2022 | 1,581 | $17K |
| 2023 | 294 | $13K |
| 2024 | 76 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | 1,094 | 1,091 | $20K | |
| 90471 | 1,842 | 1,829 | $17K | |
| 99402 | 96 | 96 | $9K | |
| 90686 | 415 | 413 | $2K | |
| 90651 | 135 | 135 | $2K | |
| 99211 | 88 | 87 | $1K | |
| 90715 | 184 | 184 | $531.56 | |
| 36416 | 68 | 62 | $440.10 | |
| D1206 | 13 | 13 | $325.00 | |
| 81025 | 41 | 40 | $291.26 | |
| A4267 | Male condom | 117 | 110 | $41.10 |
| 90734 | 98 | 98 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 93 | 93 | $0.00 |
| 90710 | 62 | 62 | $0.00 | |
| 90670 | 90 | 90 | $0.00 | |
| 87491 | 25 | 25 | $0.00 | |
| 90633 | 139 | 139 | $0.00 | |
| 90700 | 25 | 25 | $0.00 | |
| 87490 | 13 | 13 | $0.00 | |
| 90698 | 12 | 12 | $0.00 | |
| 90619 | 69 | 69 | $0.00 | |
| 87850 | 12 | 12 | $0.00 | |
| 87591 | 25 | 25 | $0.00 | |
| 90744 | 12 | 12 | $0.00 | |
| 90696 | 12 | 12 | $0.00 |