NPI: 1306863915 · GOSHEN, IN 46526 · 207N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 811 | $18K |
| 2019 | 990 | $34K |
| 2020 | 1,035 | $40K |
| 2021 | 1,760 | $69K |
| 2022 | 3,000 | $143K |
| 2023 | 2,744 | $115K |
| 2024 | 2,355 | $129K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,940 | 4,299 | $338K | |
| 99213 | 2,331 | 2,086 | $124K | |
| 99204 | 443 | 400 | $45K | |
| 90471 | 1,381 | 1,271 | $14K | |
| 36415 | 2,839 | 2,556 | $11K | |
| 99393 | 31 | 31 | $3K | |
| 90682 | 75 | 63 | $3K | |
| 99394 | 26 | 25 | $2K | |
| 87635 | 63 | 56 | $2K | |
| 99395 | 12 | 12 | $1K | |
| 99392 | 14 | 13 | $1K | |
| 99391 | 13 | 12 | $1K | |
| 90472 | 54 | 53 | $825.00 | |
| 90686 | 286 | 272 | $648.22 | |
| 87804 | 26 | 13 | $364.14 | |
| 80061 | 46 | 44 | $262.25 | |
| 83036 | 60 | 56 | $194.62 | |
| 90656 | 14 | 14 | $47.42 | |
| 85018 | 15 | 13 | $28.40 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |
| 0124A | 13 | 12 | $0.00 |