NPI: 1306841002 · BROOKFIELD, WI 53045 · 207QA0505X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 837 | $16K |
| 2022 | 5,915 | $145K |
| 2023 | 5,704 | $156K |
| 2024 | 3,842 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 20610 | 4,599 | 2,158 | $199K | |
| 77002 | 4,615 | 2,160 | $132K | |
| J7321 | Hyalgan supartz visco-3 dose | 385 | 191 | $31K |
| 76881 | 548 | 260 | $18K | |
| 73564 | 527 | 255 | $8K | |
| J7328 | Gelsyn-3 injection 0.1 mg | 42 | 24 | $5K |
| 97530 | 303 | 147 | $3K | |
| J1885 | Ketorolac tromethamine inj | 4,334 | 1,775 | $3K |
| 20611 | 74 | 57 | $2K | |
| 97110 | 233 | 120 | $2K | |
| 99213 | 106 | 94 | $1K | |
| 99212 | 126 | 105 | $1K | |
| 99204 | 26 | 25 | $919.10 | |
| 76882 | 50 | 30 | $548.69 | |
| 99214 | 26 | 25 | $522.81 | |
| J3301 | Triamcinolone acet inj nos | 239 | 167 | $461.26 |
| 99426 | 65 | 50 | $155.34 |