NPI: 1396843041 · CRYSTAL FALLS, MI 49920 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,754 | $145K |
| 2019 | 4,072 | $150K |
| 2020 | 2,514 | $97K |
| 2021 | 1,501 | $48K |
| 2022 | 1,981 | $100K |
| 2023 | 2,467 | $135K |
| 2024 | 1,626 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 7,699 | 5,885 | $632K | |
| H2000 | Comp multidisipln evaluation | 309 | 308 | $33K |
| 90471 | 2,472 | 2,460 | $22K | |
| 90472 | 1,174 | 1,171 | $20K | |
| J1050 | Medroxyprogesterone acetate | 977 | 974 | $19K |
| 99211 | 1,390 | 1,350 | $18K | |
| 96167 | 62 | 38 | $6K | |
| 99172 | 571 | 554 | $5K | |
| V5008 | Hearing screening | 569 | 554 | $5K |
| 90686 | 880 | 877 | $5K | |
| D0190 | 313 | 299 | $4K | |
| 99188 | 602 | 602 | $4K | |
| 96168 | 56 | 36 | $1K | |
| H1000 | Prenatal care atrisk assessm | 14 | 14 | $1K |
| 90651 | 31 | 31 | $645.00 | |
| 90716 | 57 | 57 | $521.26 | |
| 90715 | 66 | 65 | $380.65 | |
| 90670 | 131 | 131 | $364.00 | |
| 90734 | 93 | 92 | $240.00 | |
| 90656 | 34 | 34 | $160.00 | |
| 90473 | 32 | 32 | $96.00 | |
| 90474 | 28 | 28 | $84.00 | |
| 86580 | 16 | 16 | $72.96 | |
| D1206 | 40 | 40 | $45.00 | |
| S4993 | Contraceptive pills for bc | 12 | 12 | $30.48 |
| 90685 | 39 | 39 | $0.00 | |
| 90633 | 70 | 70 | $0.00 | |
| 90672 | 48 | 48 | $0.00 | |
| 90707 | 28 | 28 | $0.00 | |
| 90698 | 88 | 88 | $0.00 | |
| 90744 | 14 | 14 | $0.00 |