NPI: 1376558270 · BARABOO, WI 53913 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18 | $445.95 |
| 2020 | 60 | $928.20 |
| 2021 | 1,447 | $24K |
| 2022 | 205 | $3K |
| 2023 | 60 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 216 | 204 | $8K | |
| 0002A | 190 | 179 | $7K | |
| 0012A | 134 | 116 | $4K | |
| 0011A | 156 | 120 | $4K | |
| 0071A | 66 | 56 | $2K | |
| 91320 | 19 | 14 | $2K | |
| 90674 | 40 | 40 | $1K | |
| 90686 | 78 | 46 | $1K | |
| 0072A | 39 | 30 | $1K | |
| 0004A | 26 | 26 | $992.16 | |
| 0124A | 17 | 17 | $572.40 | |
| 91300 | 423 | 370 | $0.00 | |
| 91312 | 16 | 16 | $0.00 | |
| 90679 | 28 | 13 | $0.00 | |
| 91301 | 221 | 186 | $0.00 | |
| 91307 | 91 | 85 | $0.00 | |
| 91305 | 30 | 26 | $0.00 |