NPI: 1295782480 · ALTON, IL 62002 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,984 | $40K |
| 2019 | 3,515 | $68K |
| 2020 | 2,977 | $57K |
| 2021 | 3,079 | $73K |
| 2022 | 3,835 | $86K |
| 2023 | 2,290 | $43K |
| 2024 | 624 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70450 | 1,975 | 1,847 | $131K | |
| 74176 | 1,256 | 1,200 | $55K | |
| 74177 | 633 | 611 | $31K | |
| 77067 | 988 | 827 | $24K | |
| 71045 | 4,930 | 3,994 | $22K | |
| 71275 | 179 | 164 | $18K | |
| 71046 | 2,692 | 2,524 | $16K | |
| 73630 | 1,138 | 1,004 | $12K | |
| 77063 | 572 | 452 | $12K | |
| 73610 | 582 | 500 | $8K | |
| 72110 | 486 | 455 | $8K | |
| 73130 | 738 | 614 | $7K | |
| 73562 | 635 | 532 | $7K | |
| 73030 | 449 | 378 | $5K | |
| 72125 | 139 | 123 | $4K | |
| 76816 | 83 | 80 | $3K | |
| 76705 | 99 | 97 | $2K | |
| 73110 | 153 | 138 | $2K | |
| 76830 | 51 | 51 | $2K | |
| 76856 | 38 | 38 | $1K | |
| 76536 | 40 | 39 | $1K | |
| 71250 | 27 | 24 | $805.89 | |
| 76805 | 15 | 12 | $539.25 | |
| 73080 | 33 | 26 | $404.75 | |
| 73502 | 49 | 42 | $371.40 | |
| 76642 | 16 | 13 | $332.96 | |
| 74018 | 45 | 40 | $183.53 | |
| G9638 | No doc >1 dose reduc tech | 263 | 256 | $0.00 |