NPI: 1417244989 · MISHAWAKA, IN 46544 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31,708 | $651K |
| 2019 | 26,314 | $1.02M |
| 2020 | 24,015 | $873K |
| 2021 | 35,221 | $1.40M |
| 2022 | 54,712 | $1.67M |
| 2023 | 52,048 | $1.48M |
| 2024 | 36,427 | $1.11M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 63,118 | 51,536 | $2.96M | |
| 99214 | 20,011 | 16,399 | $1.39M | |
| T1015 | Clinic service | 70,158 | 53,633 | $1.25M |
| 99392 | 4,233 | 3,807 | $328K | |
| 98941 | 12,412 | 3,336 | $326K | |
| 99391 | 4,542 | 3,656 | $316K | |
| 99212 | 6,498 | 5,521 | $187K | |
| G0467 | Fqhc visit, estab pt | 7,515 | 5,884 | $170K |
| 99393 | 2,245 | 2,050 | $167K | |
| 99215 | Prolong outpt/office vis | 1,545 | 1,287 | $146K |
| 92014 | 952 | 774 | $75K | |
| 99394 | 879 | 817 | $65K | |
| 59425 | 1,276 | 1,019 | $63K | |
| 96152 | 3,148 | 2,224 | $57K | |
| 96158 | 2,744 | 2,241 | $56K | |
| 59426 | 875 | 569 | $51K | |
| 98940 | 2,449 | 1,063 | $46K | |
| 96156 | 2,064 | 1,763 | $44K | |
| 96150 | 1,559 | 1,186 | $34K | |
| 83036 | 6,321 | 5,560 | $32K | |
| 98943 | 1,708 | 414 | $31K | |
| 96167 | 1,271 | 1,063 | $27K | |
| 96154 | 941 | 680 | $23K | |
| 0012A | 815 | 701 | $23K | |
| 99203 | 460 | 393 | $20K | |
| 90832 | 455 | 384 | $19K | |
| 99204 | 164 | 132 | $17K | |
| 0011A | 910 | 721 | $17K | |
| 80305 | 1,829 | 1,403 | $16K | |
| 87880 | 1,235 | 1,067 | $14K | |
| 99381 | 196 | 174 | $14K | |
| 92015 | 1,082 | 873 | $13K | |
| 90834 | 254 | 205 | $13K | |
| 0064A | 434 | 351 | $12K | |
| 0002A | 355 | 333 | $12K | |
| 0001A | 368 | 334 | $12K | |
| 99383 | 145 | 128 | $12K | |
| 99211 | 1,255 | 1,062 | $11K | |
| 0124A | 467 | 290 | $10K | |
| 99385 | 163 | 146 | $10K | |
| 99460 | 143 | 128 | $10K | |
| 90472 | 546 | 504 | $9K | |
| 81002 | 4,971 | 3,608 | $9K | |
| 0004A | 281 | 243 | $8K | |
| 0031A | 275 | 231 | $7K | |
| 99395 | 211 | 192 | $7K | |
| 90471 | 855 | 779 | $7K | |
| 90480 | 627 | 225 | $6K | |
| 90688 | 690 | 628 | $6K | |
| 99382 | 70 | 56 | $6K | |
| 0071A | 154 | 145 | $5K | |
| 99188 | 681 | 554 | $4K | |
| 96159 | 254 | 219 | $4K | |
| 0072A | 117 | 114 | $4K | |
| 81025 | 931 | 777 | $3K | |
| 99238 | 44 | 40 | $2K | |
| 54160 | 15 | 14 | $2K | |
| 90686 | 4,758 | 4,166 | $1K | |
| 92551 | 281 | 238 | $1K | |
| 92250 | 85 | 71 | $1K | |
| 80061 | 139 | 118 | $1K | |
| 90791 | 14 | 14 | $1K | |
| 90658 | 179 | 121 | $1K | |
| 0034A | 151 | 35 | $1K | |
| 99202 | 19 | 16 | $1K | |
| 90837 | 13 | 12 | $1K | |
| 87804 | 108 | 44 | $1K | |
| 94760 | 295 | 256 | $561.17 | |
| 36415 | 563 | 468 | $539.14 | |
| 94250 | 28 | 24 | $412.88 | |
| 82962 | 139 | 119 | $248.01 | |
| 99396 | 73 | 70 | $206.56 | |
| 90620 | 62 | 58 | $155.00 | |
| 87811 | 130 | 113 | $143.84 | |
| 91320 | 355 | 149 | $123.37 | |
| 90656 | 145 | 143 | $77.35 | |
| 90633 | 865 | 759 | $24.86 | |
| 96372 | 137 | 122 | $24.00 | |
| 87210 | 67 | 61 | $5.82 | |
| 90670 | 2,726 | 2,317 | $1.05 | |
| 90723 | 1,689 | 1,381 | $0.87 | |
| 90647 | 1,229 | 961 | $0.80 | |
| 90680 | 221 | 207 | $0.47 | |
| 83655 | 306 | 292 | $0.45 | |
| 85018 | 887 | 785 | $0.38 | |
| 90700 | 66 | 61 | $0.27 | |
| 90707 | 83 | 79 | $0.23 | |
| 90649 | 56 | 55 | $0.22 | |
| 90734 | 101 | 100 | $0.21 | |
| 90716 | 67 | 65 | $0.20 | |
| 90651 | 186 | 155 | $0.07 | |
| 90710 | 156 | 121 | $0.03 | |
| 96110 | 2,868 | 2,558 | $0.02 | |
| 90696 | 12 | 12 | $0.02 | |
| 90681 | 406 | 294 | $0.01 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 76 | 53 | $0.00 |
| 90648 | 142 | 131 | $0.00 | |
| G0468 | Fqhc visit, ippe or awv | 14 | 13 | $0.00 |
| J1050 | Medroxyprogesterone acetate | 12 | 12 | $0.00 |
| 90697 | 256 | 238 | $0.00 | |
| 87428 | 112 | 99 | $0.00 | |
| 90677 | 139 | 127 | $0.00 | |
| Q2036 | Flulaval vacc, 3 yrs & >, im | 15 | 15 | $0.00 |
| 99386 | 22 | 17 | $0.00 | |
| 90619 | 18 | 12 | $0.00 | |
| 1000F | 14 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 44 | 42 | $0.00 |