NPI: 1285704890 · KENOSHA, WI 53142 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23 | $626.20 |
| 2021 | 873 | $10K |
| 2022 | 75 | $992.68 |
| 2023 | 67 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99605 | 34 | 30 | $2K | |
| 0002A | 85 | 80 | $2K | |
| 90686 | 89 | 56 | $2K | |
| 0012A | 58 | 55 | $1K | |
| 0004A | 41 | 39 | $1K | |
| 0001A | 76 | 68 | $1K | |
| 91322 | 14 | 14 | $1K | |
| 0071A | 57 | 25 | $992.16 | |
| 0011A | 67 | 64 | $796.54 | |
| E0603 | Electric breast pump | 23 | 23 | $626.20 |
| 0072A | 25 | 12 | $457.92 | |
| 99607 | 16 | 14 | $0.00 | |
| 91307 | 82 | 35 | $0.00 | |
| 91301 | 127 | 117 | $0.00 | |
| 91300 | 244 | 207 | $0.00 |