NPI: 1447327986 · GREEN BAY, WI 54304 · 2085R0204X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,009 | $125K |
| 2019 | 11,474 | $132K |
| 2020 | 10,714 | $139K |
| 2021 | 12,308 | $187K |
| 2022 | 11,519 | $148K |
| 2023 | 7,560 | $100K |
| 2024 | 3,479 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 7,248 | 6,642 | $327K | |
| 71045 | 42,580 | 33,918 | $196K | |
| 70450 | 6,701 | 5,995 | $189K | |
| 71275 | 892 | 830 | $40K | |
| 71046 | 6,000 | 5,621 | $40K | |
| 70553 | 413 | 366 | $34K | |
| 70551 | 173 | 156 | $9K | |
| 74176 | 208 | 187 | $8K | |
| 74018 | 1,850 | 1,115 | $7K | |
| 76705 | 249 | 222 | $5K | |
| 73721 | 126 | 109 | $5K | |
| 72125 | 104 | 90 | $4K | |
| 70496 | 59 | 56 | $4K | |
| 70498 | 46 | 43 | $3K | |
| 72148 | 27 | 26 | $2K | |
| 93971 | 78 | 69 | $1K | |
| 71250 | 15 | 14 | $554.43 | |
| 73630 | 83 | 73 | $511.01 | |
| 76376 | 13 | 12 | $103.60 | |
| 73130 | 14 | 13 | $88.74 | |
| G9637 | Doc >1 dose reduc tech | 1,184 | 1,031 | $0.00 |