NPI: 1316556848 · FORT WAYNE, IN 46806 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,173 | $63K |
| 2022 | 6,856 | $281K |
| 2023 | 9,700 | $370K |
| 2024 | 6,372 | $280K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,254 | 2,953 | $347K | |
| T1015 | Clinic service | 11,513 | 8,368 | $244K |
| 99213 | 2,606 | 1,936 | $149K | |
| 99204 | 608 | 413 | $68K | |
| 90792 | 456 | 336 | $56K | |
| 90834 | 967 | 470 | $48K | |
| 99391 | 451 | 384 | $34K | |
| 90471 | 1,074 | 797 | $12K | |
| 99392 | 111 | 103 | $10K | |
| 90837 | 112 | 68 | $8K | |
| 90686 | 702 | 481 | $8K | |
| 90472 | 409 | 311 | $5K | |
| 90791 | 64 | 44 | $4K | |
| 36415 | 406 | 270 | $1K | |
| 90474 | 18 | 12 | $180.00 | |
| 90670 | 50 | 40 | $0.00 | |
| G2211 | Complex e/m visit add on | 82 | 69 | $0.00 |
| 90648 | 54 | 40 | $0.00 | |
| 90671 | 16 | 14 | $0.00 | |
| 90677 | 46 | 32 | $0.00 | |
| 90697 | 66 | 53 | $0.00 | |
| 90723 | 18 | 13 | $0.00 | |
| 90680 | 18 | 12 | $0.00 |