NPI: 1235271958 · HARTFORD, WI 53027 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,883 | $30K |
| 2020 | 5,179 | $137K |
| 2021 | 4,987 | $136K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 20610 | 1,319 | 554 | $49K | |
| 77002 | 1,960 | 867 | $40K | |
| 73580 | 757 | 428 | $34K | |
| J7321 | Hyalgan supartz visco-3 dose | 484 | 223 | $34K |
| 76881 | 691 | 467 | $32K | |
| 27369 | 1,207 | 519 | $31K | |
| J7320 | Genvisc 850, inj, 1mg | 593 | 215 | $23K |
| 99213 | 1,494 | 761 | $12K | |
| 97530 | 721 | 348 | $11K | |
| 99203 | 494 | 375 | $10K | |
| 73560 | 408 | 305 | $6K | |
| 97140 | 308 | 149 | $5K | |
| 97161 | 201 | 161 | $5K | |
| 73564 | 199 | 98 | $4K | |
| J7328 | Gelsyn-3 injection 0.1 mg | 24 | 12 | $3K |
| 20611 | 66 | 54 | $2K | |
| J1885 | Ketorolac tromethamine inj | 1,482 | 691 | $700.72 |
| 99212 | 78 | 56 | $649.18 | |
| 97110 | 61 | 37 | $615.26 | |
| J3301 | Triamcinolone acet inj nos | 363 | 226 | $566.94 |
| 97535 | 50 | 41 | $522.20 | |
| 97116 | 31 | 16 | $112.23 | |
| G2064 | Md mang high risk dx 30 | 58 | 51 | $48.79 |