NPI: 1336193861 · PEORIA, IL 61605 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,091 | $659K |
| 2019 | 28,180 | $1.01M |
| 2020 | 19,412 | $1.11M |
| 2021 | 18,724 | $1.20M |
| 2022 | 12,492 | $921K |
| 2023 | 13,853 | $1.04M |
| 2024 | 13,430 | $1.03M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 56,386 | 43,513 | $6.86M |
| T1040 | Comm bh clinic svc per diem | 534 | 437 | $38K |
| 0011A | 743 | 661 | $27K | |
| 0012A | 595 | 594 | $25K | |
| 0064A | 196 | 185 | $8K | |
| 0001A | 99 | 99 | $4K | |
| 0002A | 89 | 89 | $4K | |
| 0134A | 90 | 72 | $2K | |
| 91322 | 16 | 13 | $1K | |
| 90651 | 740 | 580 | $664.13 | |
| 90620 | 114 | 70 | $513.65 | |
| 90734 | 562 | 465 | $397.45 | |
| 90670 | 282 | 208 | $205.11 | |
| 90480 | 26 | 17 | $183.75 | |
| 99213 | 24,828 | 19,710 | $83.51 | |
| 90715 | 617 | 459 | $70.72 | |
| 90756 | 32 | 25 | $58.38 | |
| 90686 | 2,106 | 1,895 | $46.83 | |
| 90633 | 419 | 321 | $45.69 | |
| 90688 | 467 | 253 | $45.00 | |
| 90744 | 63 | 35 | $26.14 | |
| 96372 | 475 | 379 | $9.81 | |
| 87880 | 303 | 294 | $0.00 | |
| 90791 | 754 | 515 | $0.00 | |
| 81025 | 174 | 141 | $0.00 | |
| 90832 | 295 | 147 | $0.00 | |
| 99212 | 192 | 175 | $0.00 | |
| 90837 | 556 | 397 | $0.00 | |
| 99394 | 889 | 758 | $0.00 | |
| 99393 | 1,074 | 921 | $0.00 | |
| 81002 | 2,170 | 1,817 | $0.00 | |
| 99204 | 73 | 69 | $0.00 | |
| 99203 | 725 | 649 | $0.00 | |
| 99395 | 230 | 181 | $0.00 | |
| 99392 | 772 | 644 | $0.00 | |
| 90648 | 55 | 52 | $0.00 | |
| 87804 | 120 | 105 | $0.00 | |
| 90658 | 16 | 16 | $0.00 | |
| 90710 | 169 | 131 | $0.00 | |
| 11721 | 489 | 388 | $0.00 | |
| 99396 | 53 | 38 | $0.00 | |
| 3078F | 175 | 173 | $0.00 | |
| 90653 | 149 | 73 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 75 | 75 | $0.00 |
| 3077F | 71 | 70 | $0.00 | |
| 3089F | 12 | 12 | $0.00 | |
| 99391 | 35 | 29 | $0.00 | |
| 90662 | 12 | 12 | $0.00 | |
| 3079F | 164 | 162 | $0.00 | |
| 99214 | 13,585 | 11,585 | $0.00 | |
| 90723 | 12 | 12 | $0.00 | |
| 90698 | 70 | 40 | $0.00 | |
| 99202 | 536 | 456 | $0.00 | |
| 90471 | 1,450 | 1,105 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 457 | 444 | $0.00 |
| 99383 | 48 | 38 | $0.00 | |
| 90696 | 154 | 107 | $0.00 | |
| 90792 | 64 | 60 | $0.00 | |
| 90834 | 108 | 69 | $0.00 | |
| Q3014 | Telehealth facility fee | 419 | 397 | $0.00 |
| 2000F | 133 | 130 | $0.00 | |
| 82962 | 163 | 113 | $0.00 | |
| 3080F | 26 | 25 | $0.00 | |
| 86580 | 39 | 25 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 59 | 49 | $0.00 |
| 36415 | 13 | 13 | $0.00 | |
| 3074F | 204 | 201 | $0.00 | |
| 90656 | 245 | 241 | $0.00 | |
| 99384 | 14 | 13 | $0.00 | |
| 3075F | 55 | 55 | $0.00 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |
| 90732 | 34 | 34 | $0.00 |