NPI: 1407403348 · DAVENPORT, IA 52806 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 18 | $401.64 |
| 2020 | 724 | $16K |
| 2021 | 373 | $14K |
| 2022 | 12 | $556.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 500 | 322 | $20K | |
| 99309 | 187 | 128 | $5K | |
| 99214 | 29 | 15 | $2K | |
| 99310 | Prolong nursin fac eval 15m | 36 | 30 | $2K |
| 0001A | 55 | 33 | $2K | |
| 99308 | 17 | 13 | $476.37 | |
| 87880 | 13 | 12 | $188.40 | |
| G8427 | Docrev cur meds by elig clin | 99 | 66 | $0.22 |
| G8482 | Flu immunize order/admin | 40 | 30 | $0.00 |
| 3288F | 99 | 66 | $0.00 | |
| G8783 | Bp scrn perf rec interval | 52 | 41 | $0.00 |