NPI: 1376919217 · EAST CHICAGO, IN 46312 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,076 | $11K |
| 2019 | 2,208 | $98K |
| 2020 | 2,267 | $92K |
| 2021 | 3,333 | $110K |
| 2022 | 3,676 | $103K |
| 2023 | 4,855 | $127K |
| 2024 | 2,821 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,356 | 4,028 | $248K | |
| 99214 | 1,992 | 1,503 | $137K | |
| T1015 | Clinic service | 5,426 | 3,843 | $95K |
| 90832 | 766 | 556 | $34K | |
| 99396 | 318 | 284 | $31K | |
| 87636 | 245 | 189 | $16K | |
| 99401 | 849 | 654 | $16K | |
| 36415 | 2,722 | 2,245 | $7K | |
| 90791 | 65 | 50 | $6K | |
| 99395 | 52 | 50 | $5K | |
| 90837 | 52 | 41 | $4K | |
| 96127 | 968 | 509 | $3K | |
| 90471 | 318 | 271 | $2K | |
| G0467 | Fqhc visit, estab pt | 80 | 64 | $2K |
| 99212 | 70 | 56 | $2K | |
| 99203 | 50 | 41 | $2K | |
| 90686 | 110 | 90 | $1K | |
| 99204 | 14 | 13 | $893.60 | |
| 0064A | 27 | 27 | $706.99 | |
| 90480 | 19 | 15 | $428.45 | |
| 90674 | 16 | 15 | $395.86 | |
| 0004A | 14 | 13 | $372.10 | |
| 83036 | 46 | 43 | $348.21 | |
| 90715 | 13 | 12 | $312.76 | |
| 81025 | 15 | 13 | $90.41 | |
| 81002 | 13 | 13 | $30.34 | |
| 3008F | 202 | 184 | $0.00 | |
| 4000F | 15 | 15 | $0.00 | |
| 3079F | 63 | 57 | $0.00 | |
| 0545F | 43 | 42 | $0.00 | |
| 3074F | 72 | 68 | $0.00 | |
| 2010F | 15 | 12 | $0.00 | |
| 1220F | 18 | 17 | $0.00 | |
| 3352F | 17 | 15 | $0.00 | |
| 91300 | 14 | 12 | $0.00 | |
| 3078F | 16 | 14 | $0.00 | |
| 3077F | 80 | 69 | $0.00 | |
| 1160F | 20 | 15 | $0.00 | |
| 91322 | 16 | 12 | $0.00 | |
| 1159F | 15 | 13 | $0.00 | |
| 4013F | 14 | 14 | $0.00 |