NPI: 1487699559 · WAVERLY, IA 50677 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,608 | $157K |
| 2019 | 3,547 | $156K |
| 2020 | 3,053 | $136K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,604 | 4,055 | $445K |
| 90460 | 708 | 693 | $1K | |
| 99392 | 126 | 126 | $395.70 | |
| 99393 | 107 | 107 | $394.10 | |
| 99214 | 1,117 | 1,041 | $390.09 | |
| 99213 | 1,785 | 1,599 | $369.20 | |
| 90461 | 115 | 113 | $273.26 | |
| 99394 | 181 | 180 | $178.36 | |
| 90686 | 335 | 332 | $67.30 | |
| 36415 | 639 | 611 | $29.17 | |
| 80048 | 71 | 68 | $12.01 | |
| 90471 | 87 | 85 | $10.18 | |
| 85018 | 48 | 45 | $0.00 | |
| 90688 | 12 | 12 | $0.00 | |
| 84443 | 12 | 12 | $0.00 | |
| 87880 | 14 | 14 | $0.00 | |
| 83655 | 13 | 13 | $0.00 | |
| 99391 | 101 | 97 | $0.00 | |
| 90734 | 27 | 27 | $0.00 | |
| 90670 | 39 | 36 | $0.00 | |
| 87804 | 13 | 13 | $0.00 | |
| 80061 | 25 | 25 | $0.00 | |
| 90633 | 14 | 14 | $0.00 | |
| 81003 | 15 | 14 | $0.00 |