NPI: 1417031907 · MISHAWAKA, IN 46545 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,454 | $214K |
| 2019 | 17,346 | $396K |
| 2020 | 16,388 | $430K |
| 2021 | 16,477 | $618K |
| 2022 | 23,620 | $705K |
| 2023 | 21,808 | $698K |
| 2024 | 12,815 | $572K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 20,025 | 14,702 | $1.42M | |
| 99213 | 20,006 | 14,615 | $1.00M | |
| 87636 | 1,811 | 1,540 | $215K | |
| 98927 | 3,186 | 1,901 | $126K | |
| 99212 | 2,437 | 2,033 | $87K | |
| 99395 | 843 | 763 | $73K | |
| 94060 | 2,013 | 1,520 | $55K | |
| 99215 | Prolong outpt/office vis | 620 | 536 | $54K |
| 87635 | 1,167 | 1,006 | $53K | |
| 99396 | 564 | 507 | $51K | |
| 98928 | 976 | 536 | $45K | |
| 92552 | 3,996 | 3,512 | $43K | |
| 96372 | 3,911 | 2,783 | $38K | |
| 36415 | 13,485 | 10,640 | $38K | |
| 76536 | 631 | 577 | $38K | |
| 71046 | 2,983 | 2,497 | $36K | |
| 74022 | 1,087 | 957 | $24K | |
| 99394 | 284 | 254 | $23K | |
| 76700 | 399 | 346 | $23K | |
| 93000 | 2,505 | 2,045 | $22K | |
| 80305 | 2,016 | 1,790 | $20K | |
| 87880 | 1,534 | 1,292 | $19K | |
| 90756 | 1,014 | 923 | $17K | |
| 87426 | 379 | 354 | $14K | |
| 87804 | 644 | 462 | $13K | |
| 81025 | 1,735 | 1,487 | $12K | |
| 82962 | 6,826 | 4,439 | $11K | |
| 81003 | 6,618 | 5,435 | $10K | |
| 94010 | 388 | 331 | $8K | |
| 90674 | 312 | 263 | $7K | |
| 96127 | 1,495 | 1,321 | $5K | |
| 90471 | 859 | 784 | $4K | |
| 99203 | 43 | 39 | $4K | |
| 99204 | 25 | 14 | $3K | |
| 84443 | 396 | 269 | $2K | |
| 85025 | 576 | 402 | $2K | |
| 80061 | 335 | 226 | $2K | |
| 80053 | 493 | 351 | $2K | |
| J1885 | Ketorolac tromethamine inj | 2,031 | 1,434 | $2K |
| 87807 | 175 | 153 | $2K | |
| 72110 | 69 | 65 | $2K | |
| 20611 | 23 | 12 | $1K | |
| 99392 | 15 | 14 | $1K | |
| 96110 | 198 | 182 | $1K | |
| 99393 | 13 | 13 | $957.00 | |
| 99202 | 14 | 14 | $772.06 | |
| 76705 | 13 | 12 | $674.28 | |
| 87905 | 75 | 65 | $495.13 | |
| 90661 | 40 | 39 | $455.57 | |
| 99211 | 31 | 30 | $453.93 | |
| 99406 | 14 | 12 | $340.10 | |
| 3044F | 159 | 133 | $340.00 | |
| 90694 | 14 | 13 | $242.12 | |
| 74019 | 17 | 17 | $238.17 | |
| 90686 | 16 | 14 | $217.56 | |
| 92551 | 36 | 33 | $198.71 | |
| 83036 | 21 | 18 | $137.59 | |
| J7613 | Albuterol non-comp unit | 2,027 | 1,493 | $132.08 |
| 99401 | 28 | 14 | $125.45 | |
| J3301 | Triamcinolone acet inj nos | 86 | 48 | $119.76 |
| 99000 | 46 | 27 | $107.50 | |
| 86318 | 14 | 12 | $72.36 | |
| 36416 | 49 | 41 | $71.10 | |
| 87210 | 44 | 39 | $58.17 | |
| G0444 | Depression screen annual | 19 | 18 | $40.31 |
| 3078F | 2,311 | 1,844 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 38 | 35 | $0.00 |
| 3077F | 606 | 485 | $0.00 | |
| 99442 | 24 | 21 | $0.00 | |
| 99497 | 18 | 16 | $0.00 | |
| 3050F | 16 | 14 | $0.00 | |
| 3079F | 2,455 | 1,889 | $0.00 | |
| 3074F | 3,808 | 2,886 | $0.00 | |
| 3075F | 922 | 754 | $0.00 | |
| G0008 | Admin influenza virus vac | 207 | 178 | $0.00 |
| 3080F | 510 | 422 | $0.00 | |
| 3048F | 21 | 19 | $0.00 | |
| G0439 | Ppps, subseq visit | 21 | 19 | $0.00 |
| 85027 | 34 | 17 | $0.00 | |
| 99385 | 13 | 12 | $0.00 |