NPI: 1396989422 · MOKENA, IL 60448 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 63 | $2K |
| 2022 | 41 | $2K |
| 2023 | 71 | $7K |
| 2024 | 1,143 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 123 | 46 | $11K | |
| 0502F | 151 | 117 | $10K | |
| 96160 | 59 | 45 | $882.20 | |
| 96127 | 63 | 31 | $621.01 | |
| 0518F | 25 | 13 | $0.00 | |
| 4274F | 24 | 12 | $0.00 | |
| 3078F | 151 | 74 | $0.00 | |
| 3288F | 25 | 13 | $0.00 | |
| G9622 | No unheal etoh user | 30 | 16 | $0.00 |
| G8752 | Sys bp less 140 | 155 | 76 | $0.00 |
| G8483 | Flu imm no admin doc rea | 12 | 12 | $0.00 |
| 1090F | 25 | 13 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 28 | 14 | $0.00 |
| G8754 | Dias bp less 90 | 151 | 74 | $0.00 |
| 3074F | 155 | 76 | $0.00 | |
| 3351F | 27 | 13 | $0.00 | |
| 1101F | 25 | 13 | $0.00 | |
| 1036F | 32 | 18 | $0.00 | |
| 1123F | 27 | 15 | $0.00 | |
| 1220F | 30 | 16 | $0.00 |