NPI: 1407072754 · SOUTH HAVEN, MI 49090 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,194 | $491K |
| 2019 | 25,445 | $566K |
| 2020 | 21,988 | $456K |
| 2021 | 24,021 | $529K |
| 2022 | 28,976 | $649K |
| 2023 | 28,685 | $648K |
| 2024 | 25,082 | $585K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 55,500 | 48,915 | $3.58M |
| 99213 | 20,521 | 19,283 | $63K | |
| 99214 | 13,206 | 12,554 | $57K | |
| J1050 | Medroxyprogesterone acetate | 760 | 755 | $40K |
| 99392 | 4,848 | 4,833 | $34K | |
| 59426 | 24 | 24 | $27K | |
| 99391 | 4,304 | 4,242 | $23K | |
| 99393 | 3,704 | 3,692 | $14K | |
| 90651 | 1,635 | 1,628 | $12K | |
| 90715 | 1,125 | 1,121 | $9K | |
| 99394 | 2,281 | 2,279 | $8K | |
| 90677 | 654 | 654 | $8K | |
| 96372 | 1,485 | 1,454 | $6K | |
| 90686 | 4,723 | 4,712 | $6K | |
| 99215 | Prolong outpt/office vis | 681 | 675 | $5K |
| 99381 | 722 | 713 | $3K | |
| 99395 | 558 | 557 | $3K | |
| 90471 | 13,593 | 13,483 | $3K | |
| 99203 | 643 | 641 | $3K | |
| 90472 | 7,120 | 7,057 | $2K | |
| 99204 | 445 | 445 | $2K | |
| 99212 | 1,488 | 1,465 | $2K | |
| 98966 | 678 | 622 | $2K | |
| 99396 | 582 | 577 | $2K | |
| 90670 | 2,963 | 2,951 | $2K | |
| 90480 | 138 | 138 | $1K | |
| 0002A | 44 | 44 | $1K | |
| 0001A | 84 | 83 | $1K | |
| 91320 | 69 | 69 | $743.90 | |
| 0124A | 138 | 127 | $731.29 | |
| 0054A | 102 | 102 | $675.87 | |
| 0071A | 45 | 45 | $641.92 | |
| 90656 | 296 | 295 | $579.10 | |
| G9002 | Mccd,maintenance rate | 30 | 30 | $525.73 |
| 90620 | 212 | 212 | $360.48 | |
| 90716 | 1,418 | 1,413 | $285.60 | |
| 90707 | 1,404 | 1,399 | $231.48 | |
| 96110 | 4,852 | 4,841 | $217.97 | |
| 99442 | 45 | 42 | $216.30 | |
| D0190 | 664 | 662 | $208.91 | |
| 99188 | 1,780 | 1,778 | $181.74 | |
| 90474 | 2,317 | 2,307 | $173.50 | |
| 99443 | 16 | 16 | $135.48 | |
| 59025 | 124 | 54 | $112.52 | |
| 99441 | 40 | 39 | $110.88 | |
| 98967 | 15 | 15 | $53.67 | |
| 96127 | 2,014 | 1,973 | $29.91 | |
| 90460 | 25 | 25 | $16.18 | |
| 96381 | 44 | 43 | $16.15 | |
| 99174 | 552 | 552 | $8.10 | |
| 92551 | 50 | 50 | $6.55 | |
| 96161 | 562 | 536 | $0.49 | |
| 36416 | 1,404 | 1,382 | $0.49 | |
| 0081A | 13 | 13 | $0.07 | |
| 36415 | 62 | 62 | $0.06 | |
| 90619 | 372 | 372 | $0.06 | |
| 90734 | 594 | 590 | $0.02 | |
| 90680 | 2,354 | 2,344 | $0.01 | |
| 90744 | 1,213 | 1,205 | $0.01 | |
| 90697 | 1,016 | 1,015 | $0.01 | |
| 90633 | 1,846 | 1,839 | $0.00 | |
| 90685 | 700 | 693 | $0.00 | |
| 99173 | 1,877 | 1,877 | $0.00 | |
| 90713 | 180 | 180 | $0.00 | |
| 90700 | 915 | 909 | $0.00 | |
| 90710 | 95 | 95 | $0.00 | |
| 0121A | 14 | 14 | $0.00 | |
| 90647 | 329 | 328 | $0.00 | |
| 90698 | 1,726 | 1,718 | $0.00 | |
| 90381 | 23 | 23 | $0.00 | |
| 90696 | 243 | 243 | $0.00 | |
| 99383 | 92 | 92 | $0.00 |