NPI: 1275731002 · TERRE HAUTE, IN 47802 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,686 | $32K |
| 2019 | 3,187 | $73K |
| 2020 | 3,265 | $65K |
| 2021 | 3,380 | $92K |
| 2022 | 3,532 | $101K |
| 2023 | 3,639 | $100K |
| 2024 | 2,810 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 13,089 | 9,253 | $355K | |
| 99214 | 4,341 | 2,883 | $162K | |
| 99396 | 142 | 132 | $11K | |
| G0444 | Depression screen annual | 1,192 | 937 | $10K |
| 80305 | 1,390 | 1,052 | $7K | |
| 90756 | 552 | 469 | $6K | |
| 90471 | 231 | 210 | $2K | |
| 83036 | 768 | 536 | $2K | |
| 99233 | Prolong inpt eval add15 m | 76 | 24 | $811.26 |
| 99223 | Prolong inpt eval add15 m | 12 | 12 | $596.74 |
| 90661 | 77 | 64 | $492.25 | |
| 99238 | 17 | 14 | $212.70 | |
| 36416 | 179 | 149 | $95.63 | |
| 99406 | 20 | 13 | $86.64 | |
| G0438 | Ppps, initial visit | 22 | 12 | $0.00 |
| G0439 | Ppps, subseq visit | 85 | 82 | $0.00 |
| G0008 | Admin influenza virus vac | 306 | 261 | $0.00 |