NPI: 1275522666 · SPRINGFIELD, IL 62702 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,216 | $51K |
| 2019 | 768 | $33K |
| 2020 | 501 | $29K |
| 2021 | 1,733 | $124K |
| 2022 | 873 | $57K |
| 2023 | 517 | $29K |
| 2024 | 223 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,015 | 881 | $74K | |
| M0243 | Casirivi and imdevi inj | 159 | 87 | $61K |
| 99285 | 820 | 784 | $46K | |
| 99284 | 715 | 692 | $27K | |
| 99213 | 557 | 545 | $26K | |
| 0001A | 603 | 496 | $23K | |
| 0002A | 502 | 487 | $21K | |
| 99283 | 572 | 555 | $17K | |
| M0247 | Sotrovimab infusion | 34 | 22 | $12K |
| 87635 | 234 | 229 | $12K | |
| 0003A | 126 | 97 | $5K | |
| 90686 | 225 | 171 | $4K | |
| 87502 | 47 | 46 | $3K | |
| M0222 | Bebtelovimab injection | 12 | 12 | $3K |
| 0124A | 28 | 26 | $1K | |
| 0011A | 25 | 24 | $1K | |
| 0012A | 21 | 17 | $719.94 | |
| 87651 | 15 | 14 | $696.16 | |
| 0071A | 13 | 13 | $547.82 | |
| G2012 | Brief check in by md/qhp | 14 | 14 | $161.18 |
| 90471 | 94 | 73 | $0.00 |