NPI: 1396878658 · HARRISBURG, IL 62946 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,767 | $143K |
| 2019 | 4,447 | $102K |
| 2020 | 2,157 | $34K |
| 2021 | 20 | $247.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97110 | 3,837 | 479 | $216K | |
| 87502 | 631 | 593 | $22K | |
| 77067 | 213 | 205 | $10K | |
| 87651 | 420 | 383 | $6K | |
| 97140 | 330 | 62 | $5K | |
| 71046 | 460 | 424 | $4K | |
| 80053 | 1,063 | 897 | $3K | |
| 84443 | 517 | 464 | $3K | |
| 85025 | 1,624 | 1,332 | $2K | |
| 87635 | 72 | 68 | $2K | |
| 97161 | 27 | 15 | $2K | |
| 77063 | 195 | 187 | $1K | |
| 93005 | 89 | 84 | $850.60 | |
| 83036 | 269 | 251 | $458.37 | |
| 81003 | 610 | 523 | $387.40 | |
| 87804 | 38 | 36 | $357.84 | |
| 80061 | 330 | 305 | $353.61 | |
| 73610 | 17 | 12 | $321.14 | |
| 80048 | 87 | 77 | $302.36 | |
| 85610 | 203 | 93 | $299.46 | |
| 0011A | 20 | 20 | $247.68 | |
| 87086 | 104 | 95 | $204.68 | |
| 82306 | 56 | 54 | $103.62 | |
| P9604 | One-way allow prorated trip | 127 | 69 | $79.12 |
| 81025 | 76 | 72 | $69.60 | |
| 36415 | 852 | 695 | $68.49 | |
| 81001 | 69 | 67 | $50.16 | |
| 83655 | 12 | 12 | $46.80 | |
| 85651 | 28 | 27 | $17.92 | |
| 83735 | 15 | 14 | $12.94 |