NPI: 1265721542 · DAYTON, OH 45402 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,724 | $772K |
| 2019 | 18,937 | $634K |
| 2020 | 15,373 | $566K |
| 2021 | 15,151 | $600K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 22,548 | 18,638 | $1.70M |
| 99213 | 29,572 | 18,539 | $591K | |
| 99214 | 3,311 | 2,164 | $92K | |
| 90460 | 4,145 | 2,516 | $73K | |
| G0467 | Fqhc visit, estab pt | 2,514 | 2,177 | $42K |
| 99442 | 1,345 | 716 | $15K | |
| 90686 | 2,940 | 1,845 | $13K | |
| Q3014 | Telehealth facility fee | 1,107 | 582 | $13K |
| 90471 | 1,262 | 809 | $10K | |
| 99392 | 357 | 253 | $8K | |
| 90832 | 252 | 102 | $5K | |
| 99393 | 217 | 140 | $5K | |
| 99441 | 423 | 234 | $2K | |
| 92551 | 333 | 202 | $945.52 | |
| 83036 | 316 | 261 | $889.59 | |
| 0012A | 16 | 16 | $613.40 | |
| 99173 | 551 | 335 | $506.52 | |
| 98927 | 40 | 36 | $379.33 | |
| 99443 | 21 | 12 | $336.10 | |
| 99391 | 70 | 60 | $308.40 | |
| 81025 | 182 | 141 | $292.27 | |
| 90670 | 176 | 135 | $192.64 | |
| 99394 | 31 | 28 | $189.09 | |
| 99395 | 30 | 27 | $183.45 | |
| 90472 | 27 | 15 | $129.72 | |
| 81002 | 201 | 168 | $95.34 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $45.00 |
| 90715 | 27 | 26 | $32.27 | |
| 98926 | 13 | 13 | $19.10 | |
| 91301 | 58 | 50 | $0.33 | |
| 3079F | 188 | 110 | $0.12 | |
| 3074F | 261 | 152 | $0.12 | |
| 3078F | 181 | 110 | $0.07 | |
| 3075F | 61 | 36 | $0.04 | |
| 99211 | 123 | 120 | $0.00 | |
| 90734 | 39 | 24 | $0.00 | |
| 90633 | 47 | 31 | $0.00 | |
| 90647 | 83 | 72 | $0.00 | |
| 90723 | 65 | 59 | $0.00 | |
| 90651 | 38 | 25 | $0.00 |