NPI: 1295903359 · BLOOMINGTON, IL 61704 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,709 | $94K |
| 2019 | 3,426 | $95K |
| 2020 | 3,412 | $64K |
| 2021 | 3,311 | $54K |
| 2022 | 2,280 | $13K |
| 2023 | 1,645 | $16K |
| 2024 | 1,245 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,681 | 3,175 | $239K | |
| 99213 | 1,998 | 1,628 | $89K | |
| 90686 | 418 | 344 | $8K | |
| 81025 | 767 | 662 | $2K | |
| 36415 | 10,761 | 10,008 | $2K | |
| G2012 | Brief check in by md/qhp | 106 | 86 | $1K |
| 99215 | Prolong outpt/office vis | 16 | 14 | $1K |
| 93005 | 33 | 27 | $361.64 | |
| 93793 | 78 | 40 | $343.22 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $166.08 |
| G2211 | Complex e/m visit add on | 15 | 14 | $53.95 |
| 81002 | 15 | 13 | $39.35 | |
| 90471 | 127 | 108 | $0.00 |