NPI: 1396268454 · YUKON, OK 73099 · 293D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 97 | $7K |
| 2019 | 70 | $6K |
| 2020 | 114 | $11K |
| 2021 | 537 | $43K |
| 2022 | 2,171 | $146K |
| 2023 | 3,185 | $205K |
| 2024 | 655 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 72148 | 1,803 | 1,054 | $151K | |
| 73721 | 1,353 | 713 | $124K | |
| 72141 | 528 | 297 | $42K | |
| 73221 | 439 | 232 | $38K | |
| 76830 | 620 | 320 | $33K | |
| 76856 | 471 | 287 | $23K | |
| 76705 | 578 | 308 | $22K | |
| 76536 | 182 | 94 | $9K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 321 | 308 | $4K |
| 76700 | 52 | 40 | $4K | |
| 70553 | 22 | 12 | $3K | |
| 93975 | 14 | 14 | $3K | |
| 74176 | 26 | 13 | $2K | |
| 70551 | 22 | 13 | $2K | |
| 71046 | 132 | 70 | $2K | |
| 72146 | 18 | 12 | $1K | |
| 72100 | 54 | 29 | $869.01 | |
| 74018 | 16 | 15 | $268.16 | |
| A9575 | Inj gadoterate meglumi 0.1ml | 178 | 136 | $47.75 |