NPI: 1487648234 · DIXON, IL 61021 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,530 | $27K |
| 2019 | 2,094 | $30K |
| 2020 | 1,623 | $22K |
| 2021 | 1,767 | $28K |
| 2022 | 1,571 | $27K |
| 2023 | 1,070 | $20K |
| 2024 | 831 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | 3,679 | 3,150 | $43K | |
| 96160 | 1,473 | 915 | $20K | |
| J1050 | Medroxyprogesterone acetate | 257 | 171 | $14K |
| D1206 | 379 | 373 | $10K | |
| 0012A | 183 | 170 | $7K | |
| 90651 | 231 | 199 | $6K | |
| 0011A | 225 | 180 | $6K | |
| 96110 | 383 | 379 | $6K | |
| 90686 | 542 | 477 | $6K | |
| 99212 | 248 | 144 | $6K | |
| 90734 | 279 | 225 | $5K | |
| 90670 | 421 | 374 | $4K | |
| 99401 | 144 | 105 | $4K | |
| 99214 | 101 | 54 | $4K | |
| 99213 | 107 | 87 | $4K | |
| 90715 | 238 | 198 | $3K | |
| 87591 | 85 | 76 | $3K | |
| 87491 | 82 | 75 | $3K | |
| 90619 | 138 | 125 | $3K | |
| 96127 | 131 | 96 | $2K | |
| 0031A | 36 | 31 | $1K | |
| 90633 | 106 | 82 | $1K | |
| 90677 | 25 | 25 | $1K | |
| 90723 | 135 | 128 | $1K | |
| 90680 | 77 | 71 | $575.69 | |
| 90620 | 12 | 12 | $551.35 | |
| 90710 | 41 | 39 | $417.05 | |
| 90656 | 20 | 19 | $351.63 | |
| 81025 | 111 | 44 | $320.17 | |
| 90647 | 43 | 39 | $291.80 | |
| A4267 | Male condom | 33 | 14 | $248.06 |
| 36416 | 52 | 52 | $212.87 | |
| 87210 | 22 | 14 | $96.35 | |
| 0064A | 16 | 16 | $86.03 | |
| 90696 | 12 | 12 | $76.80 | |
| S0613 | Ann breast exam | 34 | 13 | $15.00 |
| 91301 | 341 | 303 | $0.00 | |
| 91303 | 26 | 26 | $0.00 | |
| 91306 | 18 | 18 | $0.00 |