NPI: 1255322962 · NEW LEXINGTON, OH 43764 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,832 | $408K |
| 2019 | 36,177 | $617K |
| 2020 | 21,954 | $472K |
| 2021 | 24,285 | $499K |
| 2022 | 25,389 | $492K |
| 2023 | 21,774 | $511K |
| 2024 | 11,411 | $223K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 34,733 | 25,747 | $2.21M |
| 99214 | 17,037 | 10,736 | $477K | |
| 99213 | 15,364 | 8,643 | $297K | |
| J2315 | Naltrexone, depot form | 29 | 26 | $33K |
| D0330 | 1,123 | 916 | $20K | |
| 90832 | 1,513 | 848 | $20K | |
| D1110 | 1,277 | 994 | $16K | |
| D0150 | 1,566 | 1,257 | $15K | |
| 90837 | 765 | 323 | $12K | |
| D0120 | 1,747 | 1,326 | $11K | |
| D2392 | 198 | 91 | $11K | |
| 99392 | 455 | 294 | $10K | |
| 99394 | 296 | 188 | $10K | |
| G0467 | Fqhc visit, estab pt | 1,226 | 946 | $9K |
| D1206 | 1,636 | 1,279 | $8K | |
| 99393 | 285 | 182 | $7K | |
| 90834 | 391 | 177 | $7K | |
| D1120 | 1,087 | 832 | $7K | |
| D0274 | 656 | 534 | $6K | |
| D2391 | 100 | 48 | $5K | |
| 96110 | 1,702 | 1,142 | $5K | |
| D7140 | 247 | 94 | $4K | |
| 90460 | 340 | 236 | $3K | |
| 90471 | 604 | 357 | $2K | |
| 92551 | 579 | 376 | $2K | |
| 99406 | 594 | 389 | $2K | |
| D0140 | 373 | 293 | $2K | |
| G2025 | Dis site tele svcs rhc/fqhc | 85 | 65 | $1K |
| D0220 | 723 | 495 | $1K | |
| 99391 | 134 | 106 | $925.20 | |
| 87430 | 767 | 517 | $898.90 | |
| 99173 | 673 | 428 | $897.22 | |
| D2150 | 24 | 12 | $567.00 | |
| 96372 | 42 | 39 | $553.66 | |
| G0470 | Fqhc visit, mh estab pt | 21 | 13 | $531.58 |
| 90674 | 87 | 57 | $335.24 | |
| 90715 | 25 | 15 | $181.40 | |
| D0272 | 25 | 25 | $136.50 | |
| 80305 | 24 | 13 | $128.00 | |
| 93000 | 37 | 25 | $127.20 | |
| 90756 | 25 | 16 | $126.03 | |
| 81002 | 110 | 78 | $91.35 | |
| 90686 | 141 | 85 | $75.23 | |
| 90661 | 12 | 12 | $73.70 | |
| 90734 | 40 | 27 | $20.00 | |
| 90651 | 59 | 39 | $20.00 | |
| D0230 | 17 | 12 | $10.00 | |
| 90648 | 136 | 122 | $5.00 | |
| 90656 | 130 | 109 | $5.00 | |
| 90688 | 232 | 131 | $5.00 | |
| 3079F | 4,962 | 2,886 | $0.52 | |
| 3074F | 13,808 | 7,881 | $0.41 | |
| 3077F | 1,541 | 887 | $0.27 | |
| 3078F | 11,820 | 6,792 | $0.24 | |
| 3075F | 1,324 | 769 | $0.13 | |
| 3080F | 396 | 234 | $0.01 | |
| 99408 | 33 | 27 | $0.00 | |
| 3725F | 2,673 | 1,559 | $0.00 | |
| 90670 | 145 | 124 | $0.00 | |
| 4004F | 3,563 | 1,980 | $0.00 | |
| 90633 | 80 | 53 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 49 | 48 | $0.00 |
| 99203 | 45 | 38 | $0.00 | |
| 90655 | 12 | 12 | $0.00 | |
| 90791 | 18 | 14 | $0.00 | |
| 90669 | 18 | 12 | $0.00 | |
| 90710 | 24 | 12 | $0.00 | |
| 3008F | 21,077 | 11,770 | $0.00 | |
| 1036F | 7,573 | 4,217 | $0.00 | |
| 90680 | 31 | 25 | $0.00 | |
| G8420 | Calc bmi norm parameters | 78 | 70 | $0.00 |
| 90733 | 19 | 12 | $0.00 | |
| 90723 | 41 | 38 | $0.00 |