NPI: 1326005109 · BENTON HARBOR, MI 49022 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,329 | $57K |
| 2019 | 6,070 | $53K |
| 2020 | 3,163 | $26K |
| 2021 | 2,080 | $17K |
| 2022 | 2,285 | $20K |
| 2023 | 2,515 | $24K |
| 2024 | 2,090 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V5008 | Hearing screening | 5,837 | 5,816 | $54K |
| 90472 | 1,651 | 1,644 | $31K | |
| 90471 | 2,789 | 2,769 | $27K | |
| 99172 | 2,725 | 2,722 | $25K | |
| 99211 | 1,894 | 1,863 | $24K | |
| J1050 | Medroxyprogesterone acetate | 1,999 | 1,983 | $22K |
| 36416 | 2,651 | 2,524 | $16K | |
| 81025 | 473 | 462 | $3K | |
| 90651 | 231 | 231 | $3K | |
| 99395 | 37 | 37 | $3K | |
| 87808 | 224 | 224 | $3K | |
| 90686 | 525 | 524 | $2K | |
| 87905 | 205 | 205 | $2K | |
| 87491 | 613 | 602 | $1K | |
| 87591 | 621 | 610 | $1K | |
| 90715 | 255 | 255 | $858.99 | |
| 96372 | 58 | 57 | $442.09 | |
| 90734 | 269 | 269 | $380.20 | |
| 90707 | 14 | 14 | $300.00 | |
| 36415 | 53 | 50 | $286.80 | |
| 90670 | 67 | 67 | $193.00 | |
| 90473 | 14 | 14 | $192.64 | |
| 90716 | 12 | 12 | $136.26 | |
| 83655 | 24 | 23 | $110.33 | |
| 87850 | 255 | 251 | $5.00 | |
| 90633 | 207 | 207 | $0.00 | |
| 90672 | 16 | 16 | $0.00 | |
| A4267 | Male condom | 277 | 276 | $0.00 |
| 87806 | 97 | 97 | $0.00 | |
| 90710 | 75 | 75 | $0.00 | |
| 90685 | 52 | 52 | $0.00 | |
| 87490 | 261 | 255 | $0.00 | |
| 90696 | 12 | 12 | $0.00 | |
| 86593 | 12 | 12 | $0.00 | |
| 86803 | 14 | 14 | $0.00 | |
| 86592 | 13 | 13 | $0.00 |