NPI: 1255339750 · WEST BURLINGTON, IA 52655 · 363A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 64,874 | $3.19M |
| 2019 | 72,064 | $3.83M |
| 2020 | 59,698 | $3.92M |
| 2021 | 88,210 | $6.76M |
| 2022 | 90,733 | $7.16M |
| 2023 | 110,566 | $6.27M |
| 2024 | 96,199 | $4.25M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 126,096 | 93,731 | $26.52M |
| D9999 | 37,458 | 33,439 | $5.05M | |
| D0999 | 15,337 | 13,736 | $3.27M | |
| G0467 | Fqhc visit, estab pt | 4,134 | 3,671 | $252K |
| S0280 | Medical home, initial plan | 5,296 | 4,581 | $93K |
| 99213 | 61,208 | 52,179 | $65K | |
| 99214 | 27,729 | 24,720 | $40K | |
| G2025 | Dis site tele svcs rhc/fqhc | 177 | 153 | $20K |
| D1999 | 53 | 48 | $10K | |
| 99392 | 3,712 | 3,619 | $5K | |
| 90792 | 2,543 | 2,434 | $5K | |
| 90471 | 7,450 | 7,299 | $5K | |
| 90837 | 6,580 | 4,638 | $4K | |
| 90791 | 1,043 | 1,002 | $3K | |
| 99490 | Ccm add 20min | 1,179 | 1,106 | $3K |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 1,065 | 1,009 | $3K |
| 99393 | 1,909 | 1,864 | $3K | |
| 99391 | 3,997 | 3,588 | $2K | |
| 99409 | 213 | 121 | $2K | |
| 90472 | 9,424 | 4,645 | $2K | |
| 36415 | 3,858 | 3,698 | $2K | |
| 99203 | 1,347 | 1,299 | $2K | |
| 99394 | 1,757 | 1,686 | $2K | |
| 99212 | 2,963 | 2,753 | $2K | |
| 90834 | 1,762 | 1,511 | $2K | |
| J1050 | Medroxyprogesterone acetate | 50 | 50 | $2K |
| 96372 | 1,025 | 931 | $1K | |
| 91322 | 14 | 14 | $1K | |
| 96156 | 600 | 557 | $1K | |
| 90832 | 1,035 | 923 | $1K | |
| 90686 | 1,143 | 1,125 | $878.99 | |
| 90677 | 82 | 81 | $840.00 | |
| 90651 | 186 | 183 | $822.70 | |
| 90734 | 139 | 137 | $789.57 | |
| 96110 | 133 | 132 | $768.00 | |
| 90656 | 365 | 360 | $677.64 | |
| 3074F | 5,504 | 4,861 | $540.00 | |
| 3079F | 1,659 | 1,489 | $500.00 | |
| 99238 | 605 | 564 | $478.15 | |
| 99204 | 238 | 235 | $461.56 | |
| 90716 | 436 | 433 | $416.71 | |
| 80305 | 364 | 332 | $414.40 | |
| 3078F | 4,844 | 4,315 | $360.00 | |
| 87426 | 1,025 | 972 | $352.88 | |
| 3077F | 523 | 456 | $340.00 | |
| 99202 | 710 | 685 | $330.52 | |
| 3075F | 842 | 780 | $320.00 | |
| 90619 | 32 | 32 | $315.96 | |
| 90707 | 434 | 430 | $306.71 | |
| 90833 | 446 | 408 | $282.22 | |
| 3044F | 150 | 148 | $220.00 | |
| 90715 | 236 | 233 | $217.00 | |
| 99442 | 619 | 562 | $206.67 | |
| 83655 | 1,361 | 1,338 | $199.89 | |
| D0120 | 15,890 | 15,340 | $193.14 | |
| 90480 | 17 | 17 | $160.72 | |
| 87880 | 1,972 | 1,870 | $158.36 | |
| 90474 | 176 | 170 | $151.88 | |
| 90696 | 167 | 166 | $117.08 | |
| 99384 | 20 | 15 | $105.26 | |
| 99385 | 15 | 15 | $102.04 | |
| 99396 | 188 | 179 | $97.86 | |
| 81002 | 874 | 831 | $96.18 | |
| D1206 | 19,178 | 18,533 | $89.18 | |
| 90633 | 478 | 472 | $82.45 | |
| D1110 | 5,350 | 5,204 | $81.89 | |
| 83036 | 794 | 770 | $73.76 | |
| 85018 | 1,800 | 1,763 | $73.31 | |
| 36416 | 2,817 | 2,741 | $72.91 | |
| 87804 | 924 | 868 | $68.16 | |
| 99201 | 109 | 105 | $66.17 | |
| D0274 | 4,746 | 4,558 | $58.88 | |
| 90648 | 675 | 670 | $56.68 | |
| 90473 | 259 | 258 | $52.36 | |
| 87280 | 402 | 383 | $51.12 | |
| 99215 | Prolong outpt/office vis | 12 | 12 | $40.65 |
| 3051F | 14 | 14 | $40.00 | |
| D7140 | 1,061 | 750 | $39.12 | |
| 96158 | 679 | 497 | $38.16 | |
| D0220 | 3,227 | 3,079 | $26.68 | |
| 99173 | 1,234 | 1,190 | $25.35 | |
| D0150 | 4,985 | 4,760 | $21.05 | |
| 86803 | 28 | 26 | $20.28 | |
| 96159 | 302 | 192 | $19.08 | |
| 83026 | 1,863 | 1,820 | $16.75 | |
| 90670 | 139 | 138 | $16.71 | |
| 90680 | 546 | 538 | $16.71 | |
| 90723 | 504 | 500 | $16.71 | |
| 81025 | 40 | 38 | $16.00 | |
| J1885 | Ketorolac tromethamine inj | 67 | 59 | $3.32 |
| J7613 | Albuterol non-comp unit | 147 | 142 | $1.35 |
| D0140 | 2,814 | 2,685 | $0.01 | |
| D2930 | 1,320 | 850 | $0.00 | |
| 4040F | 2,406 | 1,829 | $0.00 | |
| 1159F | 7,198 | 6,046 | $0.00 | |
| D1120 | 13,871 | 13,336 | $0.00 | |
| D1354 | 1,369 | 599 | $0.00 | |
| D0330 | 1,824 | 1,734 | $0.00 | |
| D2391 | 2,632 | 1,769 | $0.00 | |
| 2028F | 14 | 14 | $0.00 | |
| 4004F | 124 | 122 | $0.00 | |
| 99188 | 141 | 139 | $0.00 | |
| 1160F | 7,199 | 6,047 | $0.00 | |
| 4274F | 3,528 | 2,550 | $0.00 | |
| 90461 | 23 | 23 | $0.00 | |
| 90700 | 162 | 160 | $0.00 | |
| D4910 | 135 | 135 | $0.00 | |
| D2140 | 165 | 118 | $0.00 | |
| 99395 | 51 | 50 | $0.00 | |
| 90836 | 18 | 13 | $0.00 | |
| 87634 | 13 | 13 | $0.00 | |
| D2150 | 21 | 13 | $0.00 | |
| 3046F | 27 | 27 | $0.00 | |
| 90681 | 45 | 44 | $0.00 | |
| 54150 | 27 | 26 | $0.00 | |
| 90460 | 29 | 28 | $0.00 | |
| 99231 | 25 | 16 | $0.00 | |
| 3045F | 12 | 12 | $0.00 | |
| D0602 | 5,330 | 5,134 | $0.00 | |
| D0272 | 4,103 | 3,918 | $0.00 | |
| 2010F | 10,211 | 8,452 | $0.00 | |
| 3353F | 463 | 402 | $0.00 | |
| D1351 | 14,238 | 2,280 | $0.00 | |
| 1126F | 948 | 868 | $0.00 | |
| 99460 | 341 | 333 | $0.00 | |
| D0230 | 767 | 362 | $0.00 | |
| D0601 | 7,898 | 7,598 | $0.00 | |
| 1034F | 1,884 | 1,494 | $0.00 | |
| D2392 | 2,170 | 1,533 | $0.00 | |
| 4037F | 815 | 807 | $0.00 | |
| 3080F | 495 | 442 | $0.00 | |
| G0506 | Comp asses care plan ccm svc | 3,155 | 2,669 | $0.00 |
| D0603 | 6,141 | 5,901 | $0.00 | |
| 3008F | 8,491 | 7,193 | $0.00 | |
| D0210 | 53 | 53 | $0.00 | |
| 4010F | 1,048 | 726 | $0.00 | |
| D1208 | 1,571 | 1,502 | $0.00 | |
| D1330 | 14,746 | 14,101 | $0.00 | |
| 2001F | 8,835 | 7,481 | $0.00 | |
| 1036F | 6,780 | 5,633 | $0.00 | |
| 3351F | 1,849 | 1,587 | $0.00 | |
| D2393 | 19 | 15 | $0.00 | |
| D1353 | 143 | 50 | $0.00 | |
| 94640 | 12 | 12 | $0.00 | |
| 99462 | 79 | 61 | $0.00 | |
| D7111 | 300 | 218 | $0.00 | |
| D9995 | 79 | 70 | $0.00 | |
| 1125F | 936 | 850 | $0.00 | |
| 2000F | 6,990 | 6,009 | $0.00 | |
| D1310 | 286 | 286 | $0.00 | |
| 99383 | 15 | 13 | $0.00 | |
| D2331 | 51 | 28 | $0.00 | |
| D2330 | 32 | 24 | $0.00 | |
| 3352F | 916 | 796 | $0.00 | |
| 99441 | 94 | 89 | $0.00 | |
| 90688 | 53 | 52 | $0.00 | |
| 90697 | 25 | 25 | $0.00 |