NPI: 1477506400 · LIBERAL, KS 67901 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,901 | $62K |
| 2019 | 5,698 | $66K |
| 2020 | 2,224 | $30K |
| 2021 | 2,785 | $39K |
| 2022 | 3,823 | $20K |
| 2023 | 163 | $925.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | 3,276 | 3,180 | $134K | |
| 90471 | 4,682 | 4,501 | $80K | |
| 90686 | 1,376 | 1,330 | $2K | |
| 90715 | 296 | 281 | $463.01 | |
| 90682 | 20 | 20 | $442.13 | |
| 90474 | 359 | 345 | $290.00 | |
| 90651 | 647 | 621 | $285.06 | |
| 90670 | 1,825 | 1,781 | $183.00 | |
| 90620 | 181 | 174 | $160.00 | |
| 90734 | 548 | 520 | $110.00 | |
| 90473 | 222 | 221 | $81.04 | |
| 90647 | 1,281 | 1,244 | $13.00 | |
| 90633 | 814 | 798 | $5.00 | |
| 90710 | 670 | 648 | $5.00 | |
| 90700 | 191 | 182 | $4.00 | |
| 90723 | 1,153 | 1,125 | $0.14 | |
| 90680 | 733 | 707 | $0.13 | |
| 90697 | 187 | 183 | $0.00 | |
| G0008 | Admin influenza virus vac | 33 | 33 | $0.00 |
| 90696 | 125 | 121 | $0.00 | |
| 90716 | 15 | 15 | $0.00 | |
| 90685 | 221 | 220 | $0.00 | |
| 90461 | 724 | 687 | $0.00 | |
| 90707 | 15 | 15 | $0.00 |