NPI: 1366818692 · WAUCONDA, IL 60084 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,174 | $156K |
| 2022 | 9,195 | $317K |
| 2023 | 6,252 | $234K |
| 2024 | 5,959 | $248K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 8,842 | 6,895 | $450K | |
| 99214 | 4,358 | 3,682 | $342K | |
| 99396 | 494 | 445 | $42K | |
| 99394 | 465 | 380 | $37K | |
| 99395 | 257 | 227 | $21K | |
| 99393 | 275 | 227 | $20K | |
| 99211 | 612 | 486 | $7K | |
| 96127 | 280 | 272 | $6K | |
| 80305 | 611 | 558 | $5K | |
| 99000 | 189 | 150 | $4K | |
| 90651 | 201 | 134 | $4K | |
| 99212 | 126 | 118 | $3K | |
| 90619 | 182 | 148 | $3K | |
| 99392 | 33 | 31 | $3K | |
| 90686 | 125 | 99 | $2K | |
| 93000 | 75 | 66 | $2K | |
| 90715 | 82 | 57 | $1K | |
| 99203 | 16 | 14 | $758.47 | |
| 90633 | 55 | 27 | $621.94 | |
| 87426 | 17 | 13 | $600.61 | |
| 36415 | 1,513 | 1,268 | $500.11 | |
| G8510 | Scr dep neg, no plan reqd | 34 | 31 | $496.40 |
| 90734 | 68 | 46 | $435.20 | |
| 81002 | 104 | 83 | $263.90 | |
| 90656 | 13 | 12 | $235.05 | |
| 96372 | 19 | 13 | $196.20 | |
| J3420 | Vitamin b12 injection | 83 | 61 | $140.50 |
| 90471 | 290 | 195 | $3.41 | |
| 3008F | 6,401 | 4,953 | $0.00 | |
| 3074F | 697 | 579 | $0.00 | |
| 3075F | 63 | 58 | $0.00 |