NPI: 1487164240 · SAULT SAINTE MARIE, MI 49783 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,947 | $86K |
| 2023 | 5,677 | $188K |
| 2024 | 1,582 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,756 | 4,417 | $130K |
| 99214 | 1,371 | 1,344 | $76K | |
| 99213 | 1,695 | 1,614 | $67K | |
| 99392 | 274 | 274 | $17K | |
| 99391 | 154 | 152 | $7K | |
| 99212 | 285 | 279 | $7K | |
| 99393 | 111 | 111 | $7K | |
| 90471 | 518 | 516 | $6K | |
| 90472 | 231 | 230 | $4K | |
| 99215 | Prolong outpt/office vis | 39 | 39 | $3K |
| 96110 | 368 | 368 | $3K | |
| 90686 | 169 | 168 | $2K | |
| 90671 | 12 | 12 | $451.20 | |
| 90670 | 12 | 12 | $198.00 | |
| 90672 | 12 | 12 | $0.00 | |
| 3077F | 32 | 32 | $0.00 | |
| 3078F | 21 | 20 | $0.00 | |
| 99173 | 33 | 33 | $0.00 | |
| 90700 | 12 | 12 | $0.00 | |
| 3075F | 21 | 21 | $0.00 | |
| 3079F | 36 | 35 | $0.00 | |
| 3080F | 25 | 25 | $0.00 | |
| 3074F | 19 | 18 | $0.00 |