NPI: 1417542804 · PRINCETON, IL 61356 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,165 | $170K |
| 2022 | 9,886 | $489K |
| 2023 | 13,823 | $666K |
| 2024 | 13,587 | $693K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 21,901 | 17,731 | $1.98M |
| T1040 | Comm bh clinic svc per diem | 548 | 344 | $36K |
| 99214 | 5,584 | 4,945 | $210.96 | |
| 90686 | 137 | 96 | $203.22 | |
| 99213 | 9,931 | 8,553 | $47.16 | |
| 87428 | 239 | 223 | $0.00 | |
| 90471 | 59 | 45 | $0.00 | |
| 90656 | 12 | 12 | $0.00 | |
| 96127 | 63 | 57 | $0.00 | |
| 99203 | 1,156 | 1,019 | $0.00 | |
| 99204 | 570 | 503 | $0.00 | |
| 99394 | 85 | 82 | $0.00 | |
| 90832 | 529 | 322 | $0.00 | |
| 99392 | 80 | 80 | $0.00 | |
| 99393 | 114 | 111 | $0.00 | |
| 99391 | 86 | 80 | $0.00 | |
| 99212 | 265 | 219 | $0.00 | |
| G2211 | Complex e/m visit add on | 76 | 74 | $0.00 |
| 99395 | 14 | 12 | $0.00 | |
| 90791 | 12 | 12 | $0.00 |