NPI: 1497192934 · EAST CHICAGO, IN 46312 · 163WE0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 606 | $20K |
| 2020 | 540 | $23K |
| 2021 | 1,400 | $57K |
| 2022 | 387 | $18K |
| 2023 | 608 | $30K |
| 2024 | 76 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | 821 | 722 | $37K | |
| 87635 | 613 | 538 | $31K | |
| 99283 | 540 | 482 | $16K | |
| 99213 | 382 | 350 | $16K | |
| 99284 | 295 | 246 | $12K | |
| 99214 | 167 | 148 | $10K | |
| 99204 | 107 | 94 | $8K | |
| 87502 | 110 | 109 | $8K | |
| U0003 | Cov-19 amp prb hgh thruput | 60 | 43 | $6K |
| 87651 | 79 | 77 | $3K | |
| 87634 | 47 | 45 | $2K | |
| 87811 | 30 | 30 | $1K | |
| 99285 | 16 | 15 | $909.60 | |
| U0001 | 2019-ncov diagnostic p | 15 | 12 | $538.65 |
| 0011A | 12 | 12 | $401.94 | |
| 81002 | 27 | 15 | $70.20 | |
| 99072 | 186 | 118 | $56.25 | |
| 99051 | 110 | 74 | $0.00 |