NPI: 1396821237 · MARTINSVILLE, IL 62442 · Public Health or Welfare Agency · NPI assigned 10/31/2006
| Authorized Official | HAYDEN, CATHY (ADMINISTRATOR) |
| NPI Enumeration Date | 10/31/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 887 | $13K |
| 2019 | 1,253 | $17K |
| 2020 | 727 | $9K |
| 2021 | 426 | $6K |
| 2022 | 505 | $7K |
| 2023 | 976 | $13K |
| 2024 | 1,410 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4,101 | 3,680 | $48K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1,135 | 1,050 | $19K |
| 90686 | 289 | 260 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 196 | 173 | $3K |
| 90734 | 132 | 118 | $3K | |
| 90651 | 39 | 37 | $2K | |
| 0002A | 34 | 26 | $1K | |
| 90715 | 47 | 42 | $866.69 | |
| 90682 | 17 | 15 | $795.48 | |
| 0001A | 17 | 17 | $680.00 | |
| 0124A | 17 | 12 | $680.00 | |
| 0134A | 16 | 13 | $640.00 | |
| 96127 | 38 | 38 | $540.20 | |
| 90656 | 18 | 13 | $320.69 | |
| 90619 | 16 | 16 | $267.36 | |
| 90633 | 26 | 26 | $235.78 | |
| 90670 | 13 | 13 | $83.20 | |
| 91300 | 33 | 31 | $0.00 |