NPI: 1336131879 · OTTAWA, KS 66067 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,822 | $128K |
| 2019 | 974 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 1,019 | 958 | $39K | |
| 99284 | 498 | 454 | $23K | |
| 97110 | 341 | 88 | $14K | |
| G0463 | Hospital outpt clinic visit | 588 | 506 | $14K |
| 87502 | 136 | 130 | $11K | |
| 99285 | 97 | 92 | $6K | |
| 80053 | 616 | 550 | $4K | |
| 85025 | 1,053 | 917 | $3K | |
| 96361 | 92 | 80 | $3K | |
| 97140 | 90 | 27 | $2K | |
| 96374 | 106 | 97 | $2K | |
| 71046 | 304 | 284 | $2K | |
| 96375 | 69 | 57 | $2K | |
| 99282 | 80 | 76 | $2K | |
| 80307 | 45 | 17 | $2K | |
| 96372 | 103 | 91 | $2K | |
| 74177 | 14 | 14 | $1K | |
| 93005 | 126 | 109 | $1K | |
| 99281 | 67 | 66 | $1K | |
| 97010 | 85 | 29 | $980.44 | |
| 87086 | 116 | 108 | $913.85 | |
| 80048 | 119 | 111 | $901.23 | |
| 84703 | 89 | 83 | $829.43 | |
| 84443 | 76 | 76 | $706.29 | |
| 70450 | 17 | 16 | $663.67 | |
| 84484 | 77 | 61 | $621.52 | |
| 87651 | 50 | 49 | $611.30 | |
| 81001 | 207 | 186 | $602.48 | |
| 94640 | 74 | 34 | $539.61 | |
| 80061 | 56 | 56 | $525.70 | |
| 83036 | 65 | 65 | $520.43 | |
| G0378 | Hospital observation per hr | 42 | 19 | $467.64 |
| 85652 | 319 | 275 | $388.04 | |
| 83690 | 58 | 50 | $373.47 | |
| 83880 | 65 | 56 | $357.44 | |
| 87186 | 55 | 54 | $336.06 | |
| 87077 | 55 | 54 | $267.00 | |
| 71045 | 76 | 69 | $258.06 | |
| 83605 | 32 | 25 | $231.89 | |
| 84439 | 30 | 30 | $208.93 | |
| 93041 | 31 | 29 | $161.96 | |
| 85610 | 104 | 66 | $139.23 | |
| 82607 | 18 | 18 | $133.10 | |
| J1885 | Ketorolac tromethamine inj | 92 | 76 | $133.04 |
| 83735 | 32 | 29 | $132.05 | |
| 36415 | 806 | 602 | $87.11 | |
| 81003 | 61 | 60 | $67.36 | |
| 85027 | 19 | 19 | $48.17 | |
| 82962 | 30 | 14 | $47.04 | |
| 82550 | 13 | 13 | $44.62 | |
| J2405 | Ondansetron hcl injection | 81 | 63 | $43.58 |
| J2270 | Morphine sulfate injection | 16 | 13 | $30.37 |
| J3010 | Fentanyl citrate injection | 15 | 13 | $3.10 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 30 | 28 | $0.00 |
| A9270 | Non-covered item or service | 200 | 52 | $0.00 |
| J2704 | Inj, propofol, 10 mg | 28 | 24 | $0.00 |
| 95886 | 13 | 13 | $0.00 |