NPI: 1245985043 · SAULT SAINTE MARIE, MI 49783 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 4,002 | $105K |
| 2024 | 3,555 | $122K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,264 | 3,059 | $102K |
| 99214 | 927 | 899 | $48K | |
| 99213 | 947 | 907 | $38K | |
| 99392 | 229 | 228 | $14K | |
| 99212 | 181 | 178 | $4K | |
| 99215 | Prolong outpt/office vis | 43 | 43 | $4K |
| 90471 | 273 | 272 | $3K | |
| 99391 | 82 | 79 | $3K | |
| 99393 | 62 | 62 | $3K | |
| 90472 | 136 | 136 | $3K | |
| 99204 | 44 | 44 | $3K | |
| 96110 | 22 | 22 | $165.60 | |
| 90686 | 12 | 12 | $120.00 | |
| 3079F | 15 | 14 | $0.00 | |
| 1159F | 708 | 682 | $0.00 | |
| 99173 | 25 | 25 | $0.00 | |
| 1160F | 560 | 537 | $0.00 | |
| 90670 | 15 | 15 | $0.00 | |
| 3077F | 12 | 12 | $0.00 |