NPI: 1306509757 · TOLEDO, OH 43605 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 5,328 | $126K |
| 2023 | 12,242 | $354K |
| 2024 | 10,938 | $258K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 5,346 | 3,822 | $411K |
| 90832 | 4,264 | 1,703 | $99K | |
| 99213 | 3,503 | 1,497 | $62K | |
| D1354 | 781 | 147 | $20K | |
| D0330 | 573 | 381 | $20K | |
| J1050 | Medroxyprogesterone acetate | 367 | 142 | $19K |
| 92587 | 1,543 | 837 | $15K | |
| 99394 | 447 | 257 | $15K | |
| 92015 | 1,270 | 702 | $12K | |
| D0150 | 492 | 331 | $9K | |
| 99188 | 514 | 421 | $8K | |
| 90460 | 563 | 301 | $8K | |
| D0140 | 293 | 193 | $6K | |
| 99384 | 144 | 86 | $5K | |
| 99203 | 244 | 131 | $4K | |
| 81025 | 1,050 | 446 | $3K | |
| 87426 | 85 | 78 | $3K | |
| 83036 | 411 | 330 | $2K | |
| 96372 | 381 | 144 | $2K | |
| D7140 | 23 | 12 | $2K | |
| D2392 | 31 | 16 | $2K | |
| D0220 | 411 | 258 | $2K | |
| 86703 | 324 | 261 | $2K | |
| 87880 | 145 | 128 | $2K | |
| 87804 | 97 | 88 | $1K | |
| 82962 | 709 | 383 | $819.54 | |
| 99393 | 24 | 13 | $675.48 | |
| D1206 | 123 | 73 | $600.00 | |
| D0120 | 16 | 16 | $536.96 | |
| 96127 | 170 | 135 | $452.31 | |
| D0274 | 97 | 68 | $354.40 | |
| D0272 | 111 | 68 | $286.15 | |
| D1120 | 37 | 18 | $280.00 | |
| 99173 | 175 | 85 | $191.52 | |
| 90619 | 275 | 158 | $160.53 | |
| D0270 | 31 | 19 | $104.50 | |
| 90686 | 51 | 27 | $66.22 | |
| D0230 | 35 | 13 | $49.72 | |
| 90715 | 116 | 64 | $10.00 | |
| 3044F | 593 | 331 | $0.00 | |
| 1036F | 1,770 | 1,081 | $0.00 | |
| 90651 | 167 | 92 | $0.00 | |
| 3008F | 365 | 290 | $0.00 | |
| 3074F | 85 | 38 | $0.00 | |
| 4004F | 211 | 79 | $0.00 | |
| 3078F | 13 | 13 | $0.00 | |
| 90734 | 32 | 15 | $0.00 |