NPI: 1306486022 · ROCKFORD, IL 61104 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 4,117 | $295K |
| 2021 | 15,093 | $1.07M |
| 2022 | 24,190 | $1.77M |
| 2023 | 28,321 | $2.08M |
| 2024 | 23,064 | $1.86M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 40,848 | 30,802 | $6.96M |
| T1040 | Comm bh clinic svc per diem | 1,347 | 964 | $93K |
| D0999 | 96 | 77 | $11K | |
| 99213 | 22,792 | 18,539 | $6K | |
| 91320 | 17 | 17 | $2K | |
| 99214 | 4,564 | 4,190 | $2K | |
| 0124A | 15 | 14 | $610.40 | |
| 90471 | 3,236 | 3,094 | $517.37 | |
| 99203 | 1,091 | 1,050 | $282.40 | |
| 0502F | 1,756 | 1,025 | $264.60 | |
| 90480 | 13 | 13 | $198.25 | |
| 99212 | 2,229 | 2,086 | $198.20 | |
| 90715 | 394 | 374 | $89.31 | |
| 99393 | 547 | 532 | $76.84 | |
| 99391 | 1,126 | 1,004 | $32.15 | |
| 99202 | 13 | 13 | $32.00 | |
| 90686 | 750 | 719 | $19.58 | |
| 90723 | 532 | 486 | $19.20 | |
| 90648 | 763 | 692 | $19.20 | |
| 90670 | 582 | 543 | $12.80 | |
| 80305 | 287 | 271 | $8.98 | |
| S5190 | Wellness assessment by nonph | 23 | 13 | $7.00 |
| 81003 | 2,794 | 2,029 | $6.54 | |
| 90656 | 256 | 245 | $0.00 | |
| 90677 | 249 | 232 | $0.00 | |
| 36415 | 145 | 132 | $0.00 | |
| 82962 | 430 | 405 | $0.00 | |
| 90716 | 303 | 287 | $0.00 | |
| 83036 | 374 | 370 | $0.00 | |
| 81000 | 60 | 58 | $0.00 | |
| 96372 | 205 | 199 | $0.00 | |
| 90651 | 229 | 214 | $0.00 | |
| 90696 | 78 | 75 | $0.00 | |
| 96127 | 28 | 28 | $0.00 | |
| 90832 | 1,719 | 1,294 | $0.00 | |
| 90734 | 225 | 204 | $0.00 | |
| 81025 | 930 | 878 | $0.00 | |
| 90472 | 1,174 | 1,139 | $0.00 | |
| 90707 | 312 | 295 | $0.00 | |
| 99392 | 1,165 | 1,115 | $0.00 | |
| 90633 | 344 | 332 | $0.00 | |
| 99394 | 440 | 421 | $0.00 | |
| 99204 | 139 | 138 | $0.00 | |
| 99382 | 12 | 12 | $0.00 | |
| 90681 | 69 | 49 | $0.00 | |
| 99396 | 54 | 54 | $0.00 | |
| 99395 | 13 | 13 | $0.00 | |
| 90700 | 17 | 17 | $0.00 |