NPI: 1316905805 · BLOOMINGTON, IL 61701 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 585 | $26K |
| 2019 | 967 | $40K |
| 2020 | 1,037 | $33K |
| 2021 | 2,081 | $95K |
| 2022 | 915 | $48K |
| 2023 | 722 | $42K |
| 2024 | 983 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,195 | 1,758 | $105K | |
| 99214 | 1,132 | 1,007 | $88K | |
| U0003 | Cov-19 amp prb hgh thruput | 490 | 260 | $38K |
| 99393 | 413 | 361 | $30K | |
| 99394 | 188 | 157 | $15K | |
| 99392 | 178 | 126 | $13K | |
| 0241U | 91 | 87 | $13K | |
| 87651 | 287 | 261 | $12K | |
| 96110 | 629 | 546 | $12K | |
| 96127 | 358 | 309 | $5K | |
| U0002 | Covid-19 lab test non-cdc | 106 | 88 | $5K |
| 87502 | 66 | 63 | $5K | |
| U0005 | Infec agen detec ampli probe | 143 | 135 | $4K |
| 99391 | 13 | 12 | $903.76 | |
| 87804 | 18 | 18 | $563.40 | |
| 80061 | 42 | 28 | $313.73 | |
| 87880 | 18 | 15 | $282.60 | |
| 36416 | 56 | 41 | $205.00 | |
| 85018 | 49 | 41 | $113.68 | |
| 81003 | 28 | 26 | $58.86 | |
| 91300 | 15 | 15 | $0.15 | |
| 1036F | 86 | 59 | $0.00 | |
| 1220F | 86 | 59 | $0.00 | |
| 1003F | 403 | 295 | $0.00 | |
| 99072 | 200 | 147 | $0.00 |