NPI: 1356611537 · ROCKWELL CITY, IA 50579 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,530 | $10K |
| 2019 | 1,987 | $20K |
| 2020 | 1,749 | $31K |
| 2021 | 2,082 | $35K |
| 2022 | 1,406 | $31K |
| 2023 | 1,682 | $19K |
| 2024 | 815 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 3,110 | 2,894 | $99K | |
| 90461 | 1,310 | 1,267 | $15K | |
| 91322 | 102 | 79 | $7K | |
| 90686 | 1,445 | 1,387 | $7K | |
| 90472 | 400 | 373 | $4K | |
| 0012A | 105 | 104 | $4K | |
| 0011A | 137 | 135 | $3K | |
| 90750 | 38 | 33 | $3K | |
| 90677 | 81 | 74 | $3K | |
| 90734 | 199 | 192 | $3K | |
| 0064A | 68 | 68 | $2K | |
| 90471 | 489 | 464 | $2K | |
| 90473 | 190 | 176 | $2K | |
| 90651 | 103 | 98 | $2K | |
| 90480 | 88 | 67 | $986.53 | |
| 0002A | 20 | 20 | $800.00 | |
| 0134A | 21 | 19 | $720.00 | |
| 0001A | 18 | 18 | $720.00 | |
| M0201 | Pne flu hepb cov home admin | 40 | 40 | $674.50 |
| 0124A | 19 | 17 | $600.00 | |
| 0072A | 13 | 13 | $520.00 | |
| 90656 | 60 | 57 | $478.64 | |
| 90670 | 806 | 775 | $327.01 | |
| G0008 | Admin influenza virus vac | 86 | 81 | $300.31 |
| 90662 | 34 | 34 | $295.00 | |
| 90715 | 93 | 89 | $246.19 | |
| 90710 | 48 | 47 | $238.55 | |
| 90633 | 226 | 218 | $237.81 | |
| 90688 | 143 | 142 | $58.50 | |
| 90696 | 44 | 43 | $53.52 | |
| 90671 | 84 | 84 | $0.37 | |
| 90648 | 471 | 463 | $0.00 | |
| 91313 | 21 | 19 | $0.00 | |
| 90649 | 28 | 28 | $0.00 | |
| 90685 | 14 | 13 | $0.00 | |
| 91312 | 18 | 16 | $0.00 | |
| 90621 | 25 | 25 | $0.00 | |
| 91300 | 58 | 54 | $0.00 | |
| 90680 | 432 | 414 | $0.00 | |
| 90723 | 180 | 178 | $0.00 | |
| 90716 | 14 | 13 | $0.00 | |
| 91301 | 257 | 240 | $0.00 | |
| 91307 | 19 | 18 | $0.00 | |
| 90697 | 13 | 13 | $0.00 | |
| 91306 | 68 | 68 | $0.00 | |
| 90698 | 13 | 13 | $0.00 |