NPI: 1235685330 · GREENVILLE, SC 29605 · 261QR0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,126 | $636K |
| 2019 | 4,449 | $562K |
| 2020 | 4,023 | $463K |
| 2021 | 4,760 | $589K |
| 2022 | 4,758 | $586K |
| 2023 | 4,849 | $562K |
| 2024 | 3,350 | $497K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70553 | 709 | 704 | $1.01M | |
| 76830 | 2,059 | 2,022 | $648K | |
| 82565 | 1,121 | 1,104 | $456K | |
| 71260 | 651 | 647 | $258K | |
| 77063 | 2,361 | 2,337 | $240K | |
| 71250 | 934 | 909 | $236K | |
| 73721 | 181 | 177 | $140K | |
| 76700 | 924 | 911 | $120K | |
| 74177 | 897 | 882 | $118K | |
| 76705 | 1,107 | 1,094 | $99K | |
| 71046 | 2,890 | 2,808 | $82K | |
| 36415 | 483 | 474 | $80K | |
| 72148 | 120 | 119 | $74K | |
| 76856 | 1,794 | 1,758 | $58K | |
| 76770 | 458 | 448 | $52K | |
| 74018 | 1,228 | 1,162 | $50K | |
| 77067 | 3,099 | 3,058 | $39K | |
| 76775 | 487 | 481 | $36K | |
| 72100 | 762 | 753 | $32K | |
| 76536 | 219 | 214 | $22K | |
| 77080 | 94 | 92 | $16K | |
| 93971 | 24 | 24 | $7K | |
| 71271 | 37 | 37 | $5K | |
| 73630 | 66 | 65 | $3K | |
| 73560 | 59 | 56 | $3K | |
| 74230 | 34 | 29 | $2K | |
| 93976 | 669 | 656 | $2K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 2,687 | 2,616 | $1K |
| 99213 | 361 | 353 | $1K | |
| 73030 | 38 | 38 | $1K | |
| 72040 | 12 | 12 | $1K | |
| 99212 | 166 | 163 | $577.29 | |
| 73501 | 12 | 12 | $166.28 | |
| G1004 | Cdsm ndsc | 2,095 | 1,979 | $128.94 |
| A9585 | Gadobutrol injection | 1,393 | 1,313 | $56.63 |
| Q9966 | Locm 200-299mg/ml iodine,1ml | 25 | 25 | $0.00 |
| 92611 | 33 | 28 | $0.00 | |
| 99214 | 26 | 26 | $0.00 |