NPI: 1356358238 · KENOSHA, WI 53142 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 119 | $2K |
| 2019 | 136 | $3K |
| 2020 | 186 | $3K |
| 2021 | 1,985 | $33K |
| 2022 | 399 | $4K |
| 2023 | 235 | $5K |
| 2024 | 125 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 423 | 415 | $15K | |
| 0002A | 384 | 364 | $14K | |
| A4627 | Spacer bag/reservoir | 732 | 678 | $6K |
| 90686 | 209 | 150 | $5K | |
| 90674 | 115 | 102 | $4K | |
| 91322 | 31 | 16 | $2K | |
| 0064A | 48 | 48 | $2K | |
| 0011A | 52 | 52 | $1K | |
| 0012A | 33 | 33 | $969.86 | |
| 0134A | 27 | 27 | $954.00 | |
| 0071A | 19 | 19 | $686.88 | |
| 0072A | 16 | 16 | $610.56 | |
| 90656 | 16 | 16 | $500.55 | |
| 0003A | 14 | 14 | $496.08 | |
| 91306 | 48 | 48 | $0.00 | |
| 91307 | 38 | 35 | $0.00 | |
| 91301 | 108 | 107 | $0.00 | |
| 91300 | 845 | 749 | $0.00 | |
| 91313 | 27 | 27 | $0.00 |