NPI: 1265994636 · EAST CHICAGO, IN 46312 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,175 | $89K |
| 2020 | 6,695 | $114K |
| 2021 | 12,834 | $300K |
| 2022 | 29,058 | $793K |
| 2023 | 26,629 | $792K |
| 2024 | 22,632 | $613K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 21,230 | 16,716 | $787K | |
| 99214 | 14,314 | 11,311 | $752K | |
| T1015 | Clinic service | 35,427 | 29,089 | $489K |
| 59425 | 2,577 | 1,795 | $176K | |
| G0467 | Fqhc visit, estab pt | 9,052 | 7,439 | $138K |
| 59426 | 1,388 | 689 | $117K | |
| 99212 | 1,787 | 1,420 | $47K | |
| 99203 | 589 | 521 | $35K | |
| 59430 | 178 | 156 | $26K | |
| 99204 | 348 | 303 | $26K | |
| 59409 | 32 | 26 | $20K | |
| 90792 | 117 | 95 | $13K | |
| 83036 | 1,502 | 1,377 | $9K | |
| 81002 | 3,198 | 1,927 | $9K | |
| 99222 | 87 | 75 | $8K | |
| 81025 | 1,035 | 896 | $7K | |
| 95251 | 310 | 251 | $6K | |
| 99232 | 122 | 38 | $5K | |
| 90686 | 303 | 275 | $4K | |
| 90834 | 106 | 57 | $3K | |
| 90791 | 39 | 28 | $3K | |
| 96372 | 539 | 433 | $3K | |
| 99395 | 27 | 25 | $3K | |
| G0466 | Fqhc visit new patient | 58 | 58 | $2K |
| G2025 | Dis site tele svcs rhc/fqhc | 332 | 222 | $2K |
| 99220 | 18 | 13 | $2K | |
| 82962 | 719 | 635 | $2K | |
| 36415 | 423 | 372 | $1K | |
| 90471 | 316 | 293 | $1K | |
| 95249 | 35 | 27 | $1K | |
| 90682 | 41 | 34 | $1K | |
| 99396 | 12 | 12 | $984.84 | |
| 90662 | 71 | 69 | $886.65 | |
| 90656 | 49 | 46 | $717.48 | |
| 99459 | 32 | 28 | $587.72 | |
| 90832 | 29 | 13 | $225.60 | |
| J1050 | Medroxyprogesterone acetate | 168 | 150 | $132.00 |
| 96127 | 15 | 12 | $25.44 | |
| 90688 | 28 | 26 | $19.17 | |
| 3077F | 107 | 94 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 188 | 169 | $0.00 |
| 3078F | 1,149 | 1,037 | $0.00 | |
| 99442 | 75 | 67 | $0.00 | |
| 3074F | 1,417 | 1,275 | $0.00 | |
| 99441 | 373 | 244 | $0.00 | |
| 3079F | 727 | 681 | $0.00 | |
| 3075F | 158 | 155 | $0.00 | |
| G0008 | Admin influenza virus vac | 157 | 144 | $0.00 |
| 3080F | 19 | 18 | $0.00 |