NPI: 1437312758 · MISHAWAKA, IN 46545 · 207RN0300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 633 | $17K |
| 2019 | 876 | $71K |
| 2020 | 883 | $93K |
| 2021 | 1,074 | $102K |
| 2022 | 823 | $73K |
| 2023 | 498 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 36902 | 1,138 | 1,113 | $227K | |
| 36215 | 686 | 627 | $149K | |
| 75710 | 688 | 629 | $28K | |
| 36907 | 48 | 48 | $3K | |
| 36901 | 25 | 24 | $3K | |
| 77001 | 13 | 12 | $385.82 | |
| 99152 | 95 | 89 | $340.63 | |
| J3010 | Fentanyl citrate injection | 100 | 95 | $3.53 |
| J2250 | Inj midazolam hydrochloride | 16 | 16 | $0.13 |
| G9500 | Rad expos ind/exp tm doc | 1,428 | 1,343 | $0.03 |
| G8427 | Docrev cur meds by elig clin | 399 | 369 | $0.02 |
| 6045F | 151 | 134 | $0.01 |