NPI: 1457728008 · FAIRFIELD, IA 52556 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28,969 | $1.84M |
| 2019 | 32,146 | $2.20M |
| 2020 | 28,246 | $1.93M |
| 2021 | 33,748 | $2.34M |
| 2022 | 37,648 | $2.57M |
| 2023 | 33,166 | $2.49M |
| 2024 | 27,416 | $2.12M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 96,222 | 75,540 | $15.39M |
| 99214 | 25,087 | 22,484 | $46K | |
| 99213 | 50,700 | 42,548 | $44K | |
| 99309 | 411 | 329 | $14K | |
| G2023 | Specimen collect covid-19 | 841 | 814 | $6K |
| G2211 | Complex e/m visit add on | 139 | 101 | $3K |
| 99308 | 103 | 87 | $3K | |
| G2025 | Dis site tele svcs rhc/fqhc | 108 | 81 | $3K |
| 81025 | 661 | 620 | $436.95 | |
| 90715 | 321 | 319 | $355.70 | |
| 87880 | 4,323 | 4,104 | $243.23 | |
| 90651 | 341 | 334 | $177.85 | |
| 81003 | 3,665 | 3,405 | $155.32 | |
| 99212 | 3,806 | 3,587 | $62.72 | |
| 87804 | 1,118 | 1,073 | $54.88 | |
| 96372 | 2,949 | 2,647 | $41.47 | |
| 90734 | 412 | 404 | $19.68 | |
| 36415 | 513 | 486 | $8.02 | |
| 90471 | 6,923 | 6,736 | $5.09 | |
| 99394 | 1,025 | 1,009 | $0.00 | |
| 90670 | 1,338 | 1,309 | $0.00 | |
| 99215 | Prolong outpt/office vis | 1,397 | 1,284 | $0.00 |
| 90472 | 3,350 | 3,220 | $0.00 | |
| 99392 | 2,288 | 2,236 | $0.00 | |
| 90633 | 706 | 689 | $0.00 | |
| 99391 | 1,907 | 1,797 | $0.00 | |
| 99393 | 1,153 | 1,133 | $0.00 | |
| 91322 | 62 | 60 | $0.00 | |
| 99396 | 481 | 473 | $0.00 | |
| 90707 | 26 | 26 | $0.00 | |
| 99203 | 1,056 | 1,022 | $0.00 | |
| 99395 | 661 | 648 | $0.00 | |
| J3301 | Triamcinolone acet inj nos | 285 | 268 | $0.00 |
| 99442 | 93 | 91 | $0.00 | |
| 90710 | 153 | 150 | $0.00 | |
| 90680 | 556 | 543 | $0.00 | |
| 90696 | 138 | 135 | $0.00 | |
| 90647 | 961 | 944 | $0.00 | |
| 90723 | 1,009 | 981 | $0.00 | |
| 90686 | 2,306 | 2,253 | $0.00 | |
| 90474 | 500 | 488 | $0.00 | |
| 90656 | 168 | 161 | $0.00 | |
| 99441 | 68 | 65 | $0.00 | |
| 90677 | 202 | 187 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 133 | 123 | $0.00 |
| 99202 | 382 | 357 | $0.00 | |
| 90480 | 68 | 66 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 30 | 25 | $0.00 |
| 99443 | 13 | 12 | $0.00 | |
| 96127 | 45 | 43 | $0.00 | |
| 90732 | 15 | 13 | $0.00 | |
| 99381 | 25 | 24 | $0.00 | |
| 90674 | 55 | 55 | $0.00 | |
| 94640 | 27 | 25 | $0.00 | |
| 90620 | 14 | 14 | $0.00 |