NPI: 1497002182 · SPRINGFIELD, IL 62702 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 55,387 | $2.41M |
| 2019 | 114,753 | $3.45M |
| 2020 | 71,589 | $3.43M |
| 2021 | 86,900 | $5.01M |
| 2022 | 75,039 | $4.60M |
| 2023 | 52,631 | $3.47M |
| 2024 | 45,591 | $3.37M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 227,271 | 141,892 | $25.47M |
| T1040 | Comm bh clinic svc per diem | 3,098 | 2,343 | $244K |
| 0012A | 187 | 187 | $8K | |
| 0011A | 213 | 212 | $7K | |
| 99213 | 120,334 | 82,648 | $5K | |
| 99391 | 3,421 | 2,697 | $1K | |
| 99214 | 19,616 | 15,738 | $1K | |
| 99212 | 6,786 | 5,368 | $781.54 | |
| 0001A | 15 | 15 | $632.10 | |
| 90670 | 2,529 | 1,962 | $610.33 | |
| 99381 | 72 | 57 | $551.40 | |
| 99203 | 5,058 | 4,077 | $347.25 | |
| 0502F | 4,898 | 2,478 | $310.92 | |
| 87636 | 263 | 258 | $285.78 | |
| 90715 | 2,364 | 1,902 | $273.09 | |
| 90832 | 11,544 | 7,256 | $236.88 | |
| 90686 | 5,126 | 3,946 | $167.97 | |
| 96110 | 6,922 | 5,370 | $156.89 | |
| 90633 | 1,823 | 1,379 | $121.71 | |
| 96127 | 6,103 | 4,861 | $104.55 | |
| 81025 | 4,647 | 3,640 | $85.12 | |
| 99394 | 2,227 | 1,843 | $84.64 | |
| 83036 | 5,586 | 4,547 | $81.97 | |
| 81003 | 6,650 | 5,096 | $43.57 | |
| 90656 | 370 | 360 | $20.67 | |
| 90723 | 2,103 | 1,675 | $13.20 | |
| 90716 | 1,159 | 902 | $12.02 | |
| 96372 | 2,568 | 1,811 | $9.94 | |
| 90647 | 2,122 | 1,691 | $9.07 | |
| 90651 | 2,024 | 1,622 | $6.50 | |
| 90734 | 1,090 | 807 | $6.45 | |
| 36415 | 944 | 874 | $2.70 | |
| J3301 | Triamcinolone acet inj nos | 584 | 435 | $1.75 |
| J1885 | Ketorolac tromethamine inj | 1,345 | 927 | $0.30 |
| 90680 | 1,336 | 1,042 | $0.25 | |
| 99392 | 3,775 | 2,988 | $0.23 | |
| 90791 | 691 | 512 | $0.18 | |
| 80305 | 7,971 | 3,477 | $0.17 | |
| 87880 | 1,881 | 1,542 | $0.16 | |
| 99393 | 3,318 | 2,689 | $0.13 | |
| 90853 | 2,648 | 835 | $0.11 | |
| 90834 | 4,421 | 2,821 | $0.11 | |
| 99395 | 1,285 | 1,116 | $0.09 | |
| 90710 | 125 | 119 | $0.08 | |
| 93000 | 768 | 566 | $0.07 | |
| 90700 | 344 | 257 | $0.06 | |
| 90837 | 2,146 | 1,352 | $0.05 | |
| 90707 | 1,422 | 1,078 | $0.05 | |
| 0500F | 178 | 130 | $0.05 | |
| 90732 | 165 | 134 | $0.05 | |
| 99396 | 974 | 878 | $0.03 | |
| 93005 | 1,330 | 1,216 | $0.02 | |
| 90696 | 446 | 333 | $0.02 | |
| 83655 | 367 | 268 | $0.01 | |
| 87804 | 1,339 | 1,060 | $0.01 | |
| 91321 | 14 | 14 | $0.01 | |
| 99202 | 245 | 203 | $0.01 | |
| 82962 | 155 | 96 | $0.01 | |
| 87807 | 118 | 115 | $0.01 | |
| 85018 | 139 | 99 | $0.01 | |
| 99204 | 375 | 303 | $0.00 | |
| 99215 | Prolong outpt/office vis | 13 | 13 | $0.00 |
| 90750 | 112 | 110 | $0.00 | |
| 90662 | 42 | 36 | $0.00 | |
| 98926 | 50 | 50 | $0.00 | |
| 90619 | 213 | 209 | $0.00 | |
| 20610 | 103 | 89 | $0.00 | |
| 90792 | 908 | 616 | $0.00 | |
| 90677 | 329 | 321 | $0.00 | |
| 90620 | 371 | 288 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 110 | 88 | $0.00 |
| 99384 | 53 | 41 | $0.00 | |
| 99309 | 127 | 89 | $0.00 | |
| G0008 | Admin influenza virus vac | 142 | 136 | $0.00 |
| 99383 | 95 | 67 | $0.00 | |
| D1206 | 28 | 28 | $0.00 | |
| 90471 | 36 | 34 | $0.00 | |
| 90674 | 12 | 12 | $0.00 | |
| 99308 | 66 | 40 | $0.00 | |
| 92227 | 30 | 15 | $0.00 | |
| 99385 | 12 | 12 | $0.00 |