NPI: 1366879009 · MISHAWAKA, IN 46544 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,415 | $418K |
| 2019 | 22,743 | $1.01M |
| 2020 | 36,666 | $1.77M |
| 2021 | 58,867 | $3.01M |
| 2022 | 70,390 | $3.61M |
| 2023 | 137,496 | $3.48M |
| 2024 | 90,253 | $2.87M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 139,813 | 125,676 | $8.04M | |
| 99203 | 37,466 | 33,719 | $2.56M | |
| 99214 | 41,650 | 35,619 | $2.51M | |
| 87635 | 26,902 | 24,829 | $1.15M | |
| 87651 | 15,688 | 14,291 | $417K | |
| 87502 | 4,730 | 4,375 | $362K | |
| 99202 | 7,701 | 6,886 | $315K | |
| 87804 | 17,439 | 13,971 | $239K | |
| 99212 | 4,924 | 4,428 | $175K | |
| 87880 | 14,266 | 12,782 | $160K | |
| 99211 | 3,533 | 3,129 | $58K | |
| U0003 | Cov-19 amp prb hgh thruput | 833 | 704 | $56K |
| 71046 | 2,593 | 2,339 | $48K | |
| 99204 | 181 | 165 | $15K | |
| 81001 | 3,780 | 3,374 | $8K | |
| 73630 | 355 | 277 | $7K | |
| 87634 | 94 | 91 | $6K | |
| 87807 | 608 | 553 | $5K | |
| 93975 | 32 | 27 | $5K | |
| 81003 | 2,546 | 2,316 | $5K | |
| 81002 | 1,718 | 1,511 | $4K | |
| 71250 | 66 | 46 | $4K | |
| 90471 | 215 | 179 | $3K | |
| 76830 | 35 | 29 | $2K | |
| 81025 | 240 | 213 | $2K | |
| 94640 | 210 | 154 | $1K | |
| 87210 | 297 | 266 | $1K | |
| 76536 | 16 | 13 | $1K | |
| 76705 | 17 | 15 | $1K | |
| 73610 | 73 | 53 | $984.84 | |
| 96372 | 302 | 280 | $666.18 | |
| 73562 | 13 | 12 | $365.33 | |
| 90472 | 16 | 16 | $315.00 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 14 | 12 | $273.64 |
| 36415 | 47 | 40 | $259.40 | |
| 99201 | 14 | 12 | $242.57 | |
| 73110 | 16 | 12 | $230.24 | |
| 73130 | 19 | 15 | $194.39 | |
| 87086 | 21 | 17 | $124.46 | |
| 86308 | 16 | 16 | $78.44 | |
| 90686 | 67 | 57 | $47.24 | |
| J1100 | Dexamethasone sodium phos | 103 | 90 | $15.19 |
| J7613 | Albuterol non-comp unit | 134 | 108 | $7.95 |
| J1040 | Methylprednisolone 80 mg inj | 44 | 38 | $6.41 |
| J1885 | Ketorolac tromethamine inj | 181 | 171 | $1.22 |
| 3077F | 1,642 | 1,439 | $0.00 | |
| 3078F | 16,990 | 15,274 | $0.00 | |
| 3008F | 51,309 | 46,078 | $0.00 | |
| 3074F | 22,800 | 20,462 | $0.00 | |
| 3079F | 8,290 | 7,367 | $0.00 | |
| 3075F | 1,371 | 1,218 | $0.00 | |
| 4010F | 277 | 231 | $0.00 | |
| 3044F | 529 | 479 | $0.00 | |
| 3080F | 577 | 518 | $0.00 | |
| Q0112 | Potassium hydroxide preps | 17 | 12 | $0.00 |