NPI: 1407166671 · CICERO, IL 60804 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 813 | $79K |
| 2019 | 4,505 | $220K |
| 2020 | 2,570 | $175K |
| 2021 | 1,090 | $90K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 5,119 | 3,558 | $562K |
| 90471 | 649 | 519 | $1K | |
| 90472 | 141 | 116 | $460.02 | |
| 81025 | 258 | 187 | $33.22 | |
| 90686 | 171 | 139 | $20.80 | |
| 99212 | 355 | 263 | $0.00 | |
| 90832 | 23 | 16 | $0.00 | |
| 99392 | 12 | 12 | $0.00 | |
| 99393 | 56 | 56 | $0.00 | |
| 99391 | 14 | 12 | $0.00 | |
| 99394 | 46 | 44 | $0.00 | |
| 0502F | 39 | 28 | $0.00 | |
| 99173 | 30 | 30 | $0.00 | |
| 99213 | 1,903 | 1,363 | $0.00 | |
| S5190 | Wellness assessment by nonph | 14 | 13 | $0.00 |
| 36415 | 98 | 95 | $0.00 | |
| 82962 | 38 | 30 | $0.00 | |
| 99214 | 12 | 12 | $0.00 |