NPI: 1497363303 · SULLIVAN, IN 47882 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,872 | $77K |
| 2021 | 10,256 | $455K |
| 2022 | 30,779 | $543K |
| 2023 | 52,642 | $551K |
| 2024 | 26,687 | $400K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 26,712 | 22,159 | $1.39M | |
| 99214 | 2,264 | 1,787 | $151K | |
| 99391 | 1,656 | 1,376 | $131K | |
| 59425 | 1,311 | 830 | $89K | |
| 99392 | 792 | 746 | $69K | |
| 87428 | 1,895 | 1,608 | $47K | |
| 90472 | 1,688 | 1,536 | $39K | |
| 90471 | 2,724 | 2,366 | $33K | |
| 87880 | 2,328 | 2,047 | $28K | |
| 99212 | 588 | 524 | $20K | |
| 99393 | 131 | 117 | $11K | |
| 87430 | 316 | 281 | $4K | |
| 90686 | 605 | 450 | $3K | |
| 59426 | 30 | 13 | $3K | |
| 96372 | 292 | 253 | $2K | |
| 87804 | 108 | 88 | $1K | |
| 90677 | 245 | 227 | $836.36 | |
| J3301 | Triamcinolone acet inj nos | 183 | 165 | $803.99 |
| 90656 | 57 | 55 | $501.75 | |
| 0001A | 45 | 18 | $387.91 | |
| 0031A | 99 | 40 | $360.00 | |
| 81003 | 166 | 141 | $249.06 | |
| 90670 | 701 | 621 | $230.14 | |
| J0702 | Betamethasone acet&sod phosp | 15 | 13 | $160.12 |
| 99000 | 64 | 60 | $160.01 | |
| 99490 | Ccm add 20min | 310 | 283 | $9.46 |
| 1160F | 14,251 | 12,391 | $0.00 | |
| 3078F | 7,222 | 6,253 | $0.00 | |
| 1159F | 14,253 | 12,390 | $0.00 | |
| 90633 | 136 | 129 | $0.00 | |
| 3725F | 1,614 | 1,394 | $0.00 | |
| 90648 | 132 | 117 | $0.00 | |
| G0444 | Depression screen annual | 222 | 203 | $0.00 |
| 91300 | 53 | 18 | $0.00 | |
| 3077F | 151 | 136 | $0.00 | |
| 1036F | 10,825 | 9,287 | $0.00 | |
| 96127 | 4,109 | 3,573 | $0.00 | |
| 3008F | 11,481 | 9,850 | $0.00 | |
| 3079F | 1,695 | 1,478 | $0.00 | |
| 1034F | 1,676 | 1,399 | $0.00 | |
| 3074F | 8,222 | 7,051 | $0.00 | |
| 90680 | 484 | 426 | $0.00 | |
| 1035F | 306 | 263 | $0.00 | |
| 3075F | 563 | 485 | $0.00 | |
| 90723 | 132 | 116 | $0.00 | |
| 3080F | 39 | 32 | $0.00 | |
| 90381 | 17 | 12 | $0.00 | |
| 90698 | 120 | 109 | $0.00 | |
| 90697 | 67 | 64 | $0.00 | |
| 1126F | 111 | 100 | $0.00 | |
| 99308 | 16 | 13 | $0.00 | |
| 1125F | 14 | 14 | $0.00 |