NPI: 1265449144 · CUDAHY, WI 53110 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $361.50 |
| 2019 | 29 | $643.80 |
| 2020 | 116 | $2K |
| 2021 | 1,858 | $33K |
| 2022 | 471 | $8K |
| 2023 | 111 | $6K |
| 2024 | 12 | $366.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 330 | 328 | $12K | |
| 0002A | 278 | 269 | $10K | |
| 90674 | 204 | 190 | $7K | |
| 91320 | 54 | 34 | $4K | |
| 90686 | 184 | 146 | $4K | |
| 0003A | 120 | 120 | $4K | |
| 0012A | 78 | 72 | $3K | |
| 0011A | 98 | 84 | $2K | |
| 0124A | 57 | 57 | $2K | |
| 0053A | 44 | 44 | $2K | |
| A4627 | Spacer bag/reservoir | 40 | 40 | $359.25 |
| 91305 | 134 | 134 | $0.00 | |
| 91301 | 176 | 152 | $0.00 | |
| 91312 | 57 | 57 | $0.00 | |
| 91300 | 755 | 694 | $0.00 |