NPI: 1225043375 · KENOSHA, WI 53144 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $460.95 |
| 2019 | 44 | $1K |
| 2020 | 54 | $792.45 |
| 2021 | 1,632 | $29K |
| 2022 | 572 | $10K |
| 2023 | 84 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 384 | 370 | $14K | |
| 0002A | 317 | 309 | $11K | |
| 91320 | 56 | 45 | $6K | |
| 90686 | 195 | 168 | $5K | |
| 0004A | 79 | 78 | $3K | |
| 90674 | 72 | 72 | $3K | |
| 0072A | 55 | 55 | $2K | |
| 0071A | 50 | 49 | $2K | |
| 0124A | 41 | 41 | $1K | |
| 0052A | 34 | 34 | $1K | |
| 0054A | 27 | 27 | $954.00 | |
| 0051A | 16 | 16 | $610.56 | |
| 91312 | 41 | 41 | $0.00 | |
| 91300 | 800 | 730 | $0.00 | |
| 91307 | 112 | 102 | $0.00 | |
| 91305 | 123 | 120 | $0.00 |