NPI: 1447335765 · MOUNT VERNON, IL 62864 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21,343 | $343K |
| 2019 | 8,193 | $353K |
| 2020 | 2,474 | $35K |
| 2021 | 13,211 | $214K |
| 2022 | 17,412 | $198K |
| 2023 | 4,335 | $42K |
| 2024 | 143 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90670 | 2,153 | 1,240 | $339K | |
| 90686 | 14,481 | 13,415 | $286K | |
| 87635 | 7,423 | 5,446 | $127K | |
| G2023 | Specimen collect covid-19 | 9,999 | 7,445 | $77K |
| 0001A | 4,517 | 4,227 | $73K | |
| 0002A | 4,431 | 4,156 | $73K | |
| 90732 | 476 | 307 | $40K | |
| 90674 | 2,750 | 2,621 | $39K | |
| 90750 | 283 | 265 | $23K | |
| 0012A | 1,384 | 1,349 | $23K | |
| 0011A | 1,191 | 1,157 | $22K | |
| 91320 | 385 | 310 | $10K | |
| 0004A | 507 | 497 | $8K | |
| 0064A | 541 | 524 | $6K | |
| G0008 | Admin influenza virus vac | 10,191 | 9,228 | $5K |
| 0054A | 454 | 431 | $4K | |
| 90715 | 145 | 142 | $4K | |
| 90662 | 287 | 283 | $4K | |
| 0003A | 227 | 220 | $3K | |
| 0071A | 241 | 238 | $3K | |
| 91322 | 140 | 102 | $3K | |
| 0124A | 571 | 493 | $2K | |
| 0051A | 204 | 185 | $2K | |
| 0072A | 188 | 182 | $1K | |
| 90756 | 74 | 74 | $1K | |
| 0052A | 185 | 172 | $886.99 | |
| 90656 | 183 | 179 | $860.48 | |
| 90653 | 48 | 48 | $784.00 | |
| 0031A | 58 | 51 | $771.54 | |
| 0134A | 311 | 245 | $724.44 | |
| 87502 | 252 | 178 | $708.42 | |
| 0053A | 74 | 69 | $560.00 | |
| 90658 | 27 | 27 | $480.00 | |
| 90694 | 34 | 33 | $440.00 | |
| 0013A | 24 | 24 | $320.00 | |
| 90471 | 30 | 28 | $10.20 | |
| G0009 | Admin pneumococcal vaccine | 2,551 | 1,464 | $0.00 |
| U0002 | Covid-19 lab test non-cdc | 63 | 55 | $0.00 |
| 0154A | 13 | 12 | $0.00 | |
| 90734 | 15 | 12 | $0.00 |