NPI: 1316193618 · WEST ALLIS, WI 53214 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 94 | $2K |
| 2019 | 82 | $1K |
| 2020 | 110 | $2K |
| 2021 | 2,225 | $38K |
| 2022 | 438 | $7K |
| 2023 | 290 | $7K |
| 2024 | 81 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 548 | 527 | $19K | |
| 0002A | 413 | 401 | $15K | |
| 90674 | 130 | 130 | $5K | |
| A4627 | Spacer bag/reservoir | 484 | 403 | $5K |
| 90686 | 197 | 148 | $5K | |
| 0013A | 88 | 88 | $3K | |
| 0134A | 83 | 83 | $3K | |
| 91322 | 28 | 19 | $3K | |
| 0031A | 30 | 30 | $709.75 | |
| 0012A | 12 | 12 | $312.29 | |
| 0011A | 15 | 15 | $220.22 | |
| 91301 | 213 | 210 | $0.00 | |
| 91303 | 30 | 30 | $0.00 | |
| 91300 | 966 | 884 | $0.00 | |
| 91313 | 83 | 83 | $0.00 |