NPI: 1275165052 · EAST LANSING, MI 48824 · 2085N0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,528 | $114K |
| 2021 | 5,041 | $212K |
| 2022 | 3,724 | $156K |
| 2023 | 2,518 | $102K |
| 2024 | 2,522 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70553 | 1,141 | 1,135 | $156K | |
| 73721 | 1,107 | 1,029 | $100K | |
| 72148 | 883 | 880 | $76K | |
| 73630 | 2,035 | 1,488 | $37K | |
| 72141 | 365 | 364 | $28K | |
| 73221 | 273 | 256 | $27K | |
| 73130 | 1,311 | 919 | $24K | |
| 76536 | 499 | 499 | $23K | |
| 73610 | 1,062 | 820 | $20K | |
| 73562 | 885 | 702 | $19K | |
| 72110 | 577 | 574 | $15K | |
| 77067 | 191 | 191 | $15K | |
| 73110 | 655 | 527 | $14K | |
| 73030 | 776 | 673 | $14K | |
| 71046 | 662 | 659 | $11K | |
| 76770 | 204 | 204 | $11K | |
| 73564 | 388 | 365 | $10K | |
| 74018 | 545 | 540 | $9K | |
| 74177 | 65 | 65 | $8K | |
| A9575 | Inj gadoterate meglumi 0.1ml | 439 | 419 | $8K |
| 76700 | 91 | 91 | $5K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 851 | 834 | $5K |
| 72170 | 233 | 232 | $3K | |
| 73560 | 172 | 159 | $3K | |
| 73502 | 126 | 125 | $3K | |
| 70551 | 14 | 14 | $2K | |
| 76881 | 32 | 28 | $1K | |
| 76642 | 19 | 13 | $941.55 | |
| 78815 | 13 | 13 | $851.16 | |
| 73080 | 46 | 40 | $816.50 | |
| 77063 | 12 | 12 | $375.63 | |
| 72050 | 12 | 12 | $315.00 | |
| 73090 | 15 | 12 | $240.75 | |
| 77073 | 16 | 16 | $199.72 | |
| 73521 | 12 | 12 | $160.20 | |
| A9578 | Inj multihance multipack | 606 | 577 | $28.00 |