NPI: 1346222015 · SAINT CHARLES, MO 63301 · 207ZP0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 353 | $2K |
| 2020 | 2,292 | $9K |
| 2021 | 157 | $7K |
| 2022 | 135 | $2K |
| 2023 | 136 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0003 | Cov-19 amp prb hgh thruput | 286 | 274 | $12K |
| 87040 | 620 | 325 | $4K | |
| 87086 | 684 | 499 | $2K | |
| 87486 | 98 | 67 | $664.10 | |
| 87798 | 97 | 66 | $641.65 | |
| 87581 | 97 | 66 | $641.20 | |
| 87631 | 99 | 68 | $600.00 | |
| 87186 | 287 | 186 | $570.65 | |
| 87205 | 315 | 175 | $238.00 | |
| 87070 | 185 | 119 | $179.80 | |
| 87591 | 15 | 12 | $68.70 | |
| 87491 | 16 | 13 | $68.70 | |
| 87081 | 65 | 45 | $23.20 | |
| 87147 | 20 | 13 | $20.80 | |
| 87077 | 189 | 146 | $0.00 |