NPI: 1275165508 · DONIPHAN, MO 63935 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,687 | $37K |
| 2021 | 7,844 | $153K |
| 2022 | 16,477 | $333K |
| 2023 | 18,554 | $436K |
| 2024 | 12,520 | $337K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 9,209 | 8,563 | $592K | |
| 99214 | 1,820 | 1,718 | $158K | |
| 99203 | 650 | 633 | $75K | |
| 84443 | 3,736 | 3,511 | $55K | |
| 80053 | 5,794 | 5,424 | $54K | |
| 87880 | 3,683 | 3,555 | $47K | |
| 87426 | 1,352 | 1,310 | $47K | |
| 80061 | 3,538 | 3,358 | $42K | |
| 85025 | 6,031 | 5,655 | $40K | |
| 82306 | 1,486 | 1,396 | $39K | |
| 84439 | 2,979 | 2,815 | $24K | |
| 86703 | 1,566 | 1,497 | $17K | |
| 83036 | 1,576 | 1,495 | $14K | |
| 82607 | 881 | 868 | $12K | |
| 87804 | 862 | 827 | $11K | |
| 99212 | 162 | 161 | $8K | |
| 71046 | 259 | 244 | $8K | |
| 83735 | 984 | 954 | $6K | |
| 87591 | 169 | 161 | $5K | |
| 87631 | 43 | 43 | $5K | |
| 87634 | 96 | 84 | $5K | |
| 82746 | 330 | 323 | $4K | |
| 87491 | 122 | 116 | $4K | |
| G0467 | Fqhc visit, estab pt | 111 | 100 | $3K |
| 99393 | 130 | 128 | $2K | |
| 83880 | 77 | 76 | $2K | |
| 99204 | 12 | 12 | $2K | |
| 87635 | 34 | 34 | $2K | |
| 99394 | 76 | 75 | $2K | |
| 99215 | Prolong outpt/office vis | 14 | 13 | $2K |
| G2023 | Specimen collect covid-19 | 83 | 83 | $2K |
| 99392 | 97 | 96 | $2K | |
| 86140 | 280 | 266 | $1K | |
| 99406 | 49 | 46 | $873.71 | |
| 81015 | 290 | 270 | $700.57 | |
| 82947 | 221 | 209 | $674.20 | |
| 84100 | 165 | 162 | $659.30 | |
| 87807 | 55 | 55 | $576.40 | |
| 96372 | 310 | 274 | $490.43 | |
| 87811 | 16 | 15 | $476.64 | |
| 81003 | 198 | 185 | $382.63 | |
| 81001 | 116 | 115 | $323.55 | |
| 82550 | 54 | 51 | $308.72 | |
| 84702 | 20 | 12 | $213.69 | |
| 99391 | 12 | 12 | $192.60 | |
| 36415 | 15 | 13 | $58.48 | |
| 1111F | 381 | 328 | $0.00 | |
| 1125F | 999 | 837 | $0.00 | |
| 3008F | 1,796 | 1,544 | $0.00 | |
| 1220F | 457 | 408 | $0.00 | |
| 3079F | 159 | 132 | $0.00 | |
| 3074F | 215 | 181 | $0.00 | |
| 3075F | 32 | 29 | $0.00 | |
| 1126F | 13 | 12 | $0.00 | |
| 1160F | 1,558 | 1,331 | $0.00 | |
| 0521F | 616 | 503 | $0.00 | |
| 1159F | 1,357 | 1,173 | $0.00 | |
| 3078F | 235 | 216 | $0.00 | |
| 3725F | 471 | 418 | $0.00 | |
| 3077F | 30 | 27 | $0.00 |