NPI: 1346947256 · MOUNT PROSPECT, IL 60056 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,089 | $26K |
| 2024 | 1,574 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 392 | 372 | $31K | |
| 87806 | 552 | 523 | $11K | |
| J1050 | Medroxyprogesterone acetate | 345 | 315 | $11K |
| 99213 | 151 | 131 | $7K | |
| J8499 | Oral prescrip drug non chemo | 92 | 85 | $3K |
| 81025 | 681 | 606 | $3K | |
| 96372 | 192 | 175 | $2K | |
| 76815 | 14 | 14 | $1K | |
| 76817 | 13 | 12 | $934.70 | |
| 87210 | 187 | 179 | $743.76 | |
| 99401 | 13 | 13 | $390.00 | |
| 99211 | 19 | 17 | $243.56 | |
| A4267 | Male condom | 12 | 12 | $111.74 |