NPI: 1225661234 · EAST CHICAGO, IN 46312 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 787 | $21K |
| 2021 | 7,813 | $170K |
| 2022 | 12,748 | $319K |
| 2023 | 10,184 | $279K |
| 2024 | 5,035 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | 1,680 | 1,562 | $139K | |
| 99213 | 2,342 | 2,012 | $128K | |
| 99393 | 1,541 | 1,388 | $120K | |
| 99391 | 1,650 | 1,407 | $118K | |
| T1015 | Clinic service | 9,755 | 8,520 | $95K |
| 99214 | 1,292 | 1,115 | $87K | |
| 99394 | 952 | 832 | $72K | |
| 90472 | 2,396 | 2,151 | $53K | |
| 90471 | 3,734 | 3,309 | $48K | |
| 99460 | 247 | 215 | $14K | |
| 99383 | 201 | 149 | $10K | |
| 99238 | 208 | 186 | $9K | |
| 90474 | 656 | 611 | $9K | |
| G0467 | Fqhc visit, estab pt | 447 | 397 | $5K |
| 99384 | 94 | 73 | $5K | |
| 99382 | 70 | 62 | $4K | |
| 83655 | 411 | 384 | $4K | |
| 96110 | 416 | 412 | $2K | |
| 90792 | 15 | 15 | $2K | |
| 99212 | 56 | 44 | $2K | |
| 99381 | 36 | 27 | $2K | |
| 54150 | 14 | 12 | $1K | |
| 85018 | 413 | 386 | $793.66 | |
| 90473 | 47 | 42 | $675.00 | |
| 90710 | 491 | 451 | $259.37 | |
| 90620 | 154 | 126 | $244.32 | |
| 99211 | 13 | 13 | $221.31 | |
| 90686 | 759 | 616 | $132.93 | |
| 90734 | 413 | 352 | $102.50 | |
| 96127 | 28 | 14 | $23.28 | |
| 90680 | 611 | 569 | $4.97 | |
| 90670 | 1,134 | 1,061 | $2.70 | |
| 90633 | 632 | 569 | $0.00 | |
| 3078F | 325 | 312 | $0.00 | |
| 3077F | 58 | 57 | $0.00 | |
| 90715 | 350 | 295 | $0.00 | |
| 90672 | 53 | 48 | $0.00 | |
| 90647 | 475 | 440 | $0.00 | |
| 3079F | 281 | 273 | $0.00 | |
| 3074F | 459 | 437 | $0.00 | |
| 90723 | 490 | 453 | $0.00 | |
| 3075F | 103 | 102 | $0.00 | |
| 90651 | 445 | 398 | $0.00 | |
| 90696 | 144 | 131 | $0.00 | |
| 90698 | 412 | 392 | $0.00 | |
| 3080F | 13 | 12 | $0.00 | |
| 90674 | 51 | 48 | $0.00 |