NPI: 1467658443 · PEORIA, IL 61603 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,825 | $1.04M |
| 2019 | 41,214 | $1.48M |
| 2020 | 27,124 | $1.48M |
| 2021 | 25,967 | $1.60M |
| 2022 | 20,286 | $1.38M |
| 2023 | 18,180 | $1.32M |
| 2024 | 25,250 | $1.95M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 80,714 | 59,270 | $10.08M |
| T1040 | Comm bh clinic svc per diem | 1,307 | 805 | $104K |
| 99000 | 2,223 | 2,045 | $52K | |
| 59409 | 18 | 18 | $17K | |
| 90651 | 619 | 541 | $1K | |
| 59430 | 41 | 41 | $600.00 | |
| 90734 | 551 | 497 | $525.60 | |
| 90710 | 288 | 232 | $435.14 | |
| 99213 | 33,139 | 26,638 | $222.64 | |
| G2012 | Brief check in by md/qhp | 35 | 32 | $221.83 |
| 90633 | 522 | 391 | $188.33 | |
| 90620 | 43 | 33 | $177.15 | |
| 90715 | 1,154 | 1,007 | $141.22 | |
| 81025 | 4,291 | 3,609 | $136.77 | |
| 90716 | 27 | 15 | $129.30 | |
| 90696 | 267 | 219 | $112.66 | |
| 90707 | 28 | 16 | $75.04 | |
| 90832 | 4,352 | 1,777 | $60.00 | |
| 99214 | 12,517 | 10,873 | $36.67 | |
| 90688 | 329 | 184 | $30.00 | |
| 90756 | 48 | 29 | $30.00 | |
| 90648 | 347 | 210 | $16.51 | |
| 81002 | 2,301 | 1,900 | $5.20 | |
| 90744 | 70 | 43 | $0.00 | |
| 90471 | 1,338 | 1,074 | $0.00 | |
| 90686 | 1,938 | 1,701 | $0.00 | |
| 90697 | 28 | 26 | $0.00 | |
| 0500F | 726 | 644 | $0.00 | |
| 90792 | 399 | 395 | $0.00 | |
| 99383 | 305 | 237 | $0.00 | |
| 96372 | 466 | 423 | $0.00 | |
| 3074F | 169 | 168 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 747 | 726 | $0.00 |
| 0503F | 228 | 179 | $0.00 | |
| 99202 | 718 | 616 | $0.00 | |
| 90656 | 240 | 234 | $0.00 | |
| 90834 | 700 | 559 | $0.00 | |
| 99384 | 108 | 70 | $0.00 | |
| 90723 | 162 | 88 | $0.00 | |
| 3080F | 156 | 153 | $0.00 | |
| 82962 | 12 | 12 | $0.00 | |
| 3079F | 204 | 203 | $0.00 | |
| 20610 | 283 | 163 | $0.00 | |
| 2000F | 31 | 31 | $0.00 | |
| 90698 | 80 | 60 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 41 | 24 | $0.00 |
| 90732 | 12 | 12 | $0.00 | |
| 3075F | 74 | 74 | $0.00 | |
| 58300 | 27 | 26 | $0.00 | |
| 99212 | 2,987 | 2,546 | $0.00 | |
| 87804 | 260 | 222 | $0.00 | |
| 0502F | 4,613 | 2,868 | $0.00 | |
| 87880 | 878 | 765 | $0.00 | |
| 90670 | 629 | 427 | $0.00 | |
| 99393 | 1,763 | 1,483 | $0.00 | |
| 99395 | 952 | 840 | $0.00 | |
| 3077F | 207 | 205 | $0.00 | |
| 90791 | 224 | 188 | $0.00 | |
| 99392 | 1,191 | 950 | $0.00 | |
| 99204 | 182 | 179 | $0.00 | |
| 3078F | 95 | 94 | $0.00 | |
| J3301 | Triamcinolone acet inj nos | 295 | 208 | $0.00 |
| 80305 | 1,524 | 1,276 | $0.00 | |
| 90837 | 2,174 | 1,262 | $0.00 | |
| 99203 | 633 | 615 | $0.00 | |
| 90681 | 42 | 38 | $0.00 | |
| 99394 | 1,506 | 1,259 | $0.00 | |
| 99396 | 114 | 80 | $0.00 | |
| 99391 | 801 | 568 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 88 | 87 | $0.00 |
| 59025 | 44 | 28 | $0.00 | |
| 90658 | 59 | 57 | $0.00 | |
| 99215 | Prolong outpt/office vis | 28 | 26 | $0.00 |
| 90671 | 71 | 57 | $0.00 | |
| 99382 | 23 | 15 | $0.00 | |
| 4145F | 12 | 12 | $0.00 | |
| 90700 | 28 | 13 | $0.00 |