NPI: 1417305293 · HARRISBURG, IL 62946 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 174 | $5K |
| 2019 | 30 | $861.08 |
| 2021 | 129 | $6K |
| 2022 | 792 | $38K |
| 2023 | 1,464 | $63K |
| 2024 | 1,612 | $80K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 3,356 | 3,052 | $164K | |
| 99214 | 232 | 194 | $13K | |
| 99203 | 189 | 181 | $7K | |
| 87804 | 245 | 209 | $6K | |
| 96372 | 71 | 49 | $2K | |
| 87807 | 19 | 15 | $191.14 | |
| 87880 | 12 | 12 | $176.84 | |
| J3301 | Triamcinolone acet inj nos | 24 | 12 | $93.22 |
| 81002 | 14 | 13 | $31.20 | |
| J1100 | Dexamethasone sodium phos | 18 | 12 | $9.10 |
| J3490 | Drugs unclassified injection | 21 | 18 | $0.00 |