NPI: 1447299953 · WAVERLY, IA 50677 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,522 | $94K |
| 2019 | 1,964 | $84K |
| 2020 | 1,237 | $38K |
| 2021 | 2,037 | $79K |
| 2022 | 3,819 | $144K |
| 2023 | 2,726 | $145K |
| 2024 | 1,353 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 1,374 | 1,273 | $148K | |
| 99284 | 504 | 443 | $82K | |
| 85025 | 3,495 | 3,192 | $71K | |
| 80053 | 2,755 | 2,556 | $66K | |
| 87651 | 542 | 530 | $47K | |
| 99285 | 166 | 151 | $44K | |
| 69436 | 38 | 37 | $41K | |
| 36415 | 3,064 | 2,639 | $40K | |
| 86140 | 635 | 594 | $13K | |
| 83605 | 399 | 366 | $12K | |
| 84443 | 341 | 321 | $12K | |
| 97530 | 87 | 27 | $11K | |
| 87428 | 153 | 153 | $10K | |
| 82550 | 512 | 478 | $8K | |
| 0241U | 53 | 52 | $6K | |
| 84484 | 191 | 130 | $5K | |
| 92507 | 46 | 12 | $5K | |
| 83690 | 208 | 194 | $3K | |
| 87081 | 151 | 134 | $3K | |
| 87631 | 45 | 44 | $3K | |
| 0202U | 16 | 16 | $2K | |
| 87804 | 74 | 72 | $2K | |
| 81001 | 204 | 194 | $2K | |
| 82150 | 179 | 167 | $2K | |
| 93005 | 41 | 37 | $2K | |
| 85652 | 116 | 113 | $2K | |
| 80305 | 59 | 43 | $927.85 | |
| 87491 | 12 | 12 | $918.04 | |
| 87591 | 12 | 12 | $918.04 | |
| 96375 | 12 | 12 | $867.39 | |
| 87430 | 29 | 28 | $702.34 | |
| 87426 | 42 | 40 | $617.01 | |
| 84703 | 24 | 24 | $424.12 | |
| 82803 | 13 | 12 | $365.63 | |
| 85730 | 13 | 12 | $242.25 | |
| A0425 | Ground mileage | 16 | 12 | $216.10 |
| 85610 | 13 | 12 | $162.61 | |
| J2405 | Ondansetron hcl injection | 12 | 12 | $136.23 |
| 87086 | 12 | 12 | $121.70 |