NPI: 1245871243 · ALTON, IL 62002 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 53 | $2K |
| 2020 | 3,631 | $108K |
| 2022 | 22 | $885.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 980 | 697 | $28K | |
| 99214 | 605 | 420 | $26K | |
| 99204 | 386 | 287 | $25K | |
| 99203 | 567 | 436 | $23K | |
| 87804 | 158 | 153 | $4K | |
| 96372 | 233 | 134 | $2K | |
| 87880 | 110 | 104 | $2K | |
| 99000 | 188 | 112 | $1K | |
| 81002 | 242 | 157 | $569.40 | |
| J1885 | Ketorolac tromethamine inj | 25 | 12 | $51.53 |
| J0696 | Ceftriaxone sodium injection | 15 | 12 | $8.10 |
| 99051 | 197 | 189 | $0.00 |