NPI: 1508306861 · ROCKFORD, IL 61107 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,421 | $749K |
| 2019 | 37,200 | $1.43M |
| 2020 | 45,287 | $2.52M |
| 2021 | 48,104 | $2.94M |
| 2022 | 40,719 | $2.61M |
| 2023 | 45,529 | $3.04M |
| 2024 | 42,256 | $3.12M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 113,598 | 87,708 | $16.12M |
| T1040 | Comm bh clinic svc per diem | 3,865 | 2,424 | $297K |
| 99214 | 4,107 | 3,855 | $137.20 | |
| 99213 | 61,013 | 50,593 | $23.76 | |
| 90647 | 2,343 | 2,117 | $0.00 | |
| 90834 | 2,316 | 1,456 | $0.00 | |
| 90619 | 736 | 693 | $0.00 | |
| 0500F | 553 | 541 | $0.00 | |
| 99202 | 1,138 | 1,061 | $0.00 | |
| 90723 | 2,249 | 2,074 | $0.00 | |
| 76817 | 99 | 95 | $0.00 | |
| 96110 | 5,138 | 4,780 | $0.00 | |
| 76801 | 45 | 45 | $0.00 | |
| 90716 | 634 | 617 | $0.00 | |
| 90680 | 1,371 | 1,291 | $0.00 | |
| 90651 | 1,473 | 1,382 | $0.00 | |
| 90696 | 576 | 567 | $0.00 | |
| 83036 | 831 | 792 | $0.00 | |
| 90677 | 511 | 507 | $0.00 | |
| 90686 | 2,182 | 2,069 | $0.00 | |
| 96127 | 1,678 | 1,471 | $0.00 | |
| 76816 | 170 | 122 | $0.00 | |
| 93000 | 421 | 409 | $0.00 | |
| 3080F | 98 | 95 | $0.00 | |
| 87635 | 518 | 488 | $0.00 | |
| 3079F | 161 | 161 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 26 | 26 | $0.00 |
| 99383 | 294 | 289 | $0.00 | |
| 87428 | 1,082 | 1,059 | $0.00 | |
| 87426 | 159 | 152 | $0.00 | |
| 3075F | 54 | 54 | $0.00 | |
| 90656 | 238 | 238 | $0.00 | |
| 90620 | 133 | 133 | $0.00 | |
| 76815 | 205 | 118 | $0.00 | |
| S5190 | Wellness assessment by nonph | 488 | 484 | $0.00 |
| 99384 | 91 | 90 | $0.00 | |
| 99381 | 176 | 172 | $0.00 | |
| 3074F | 82 | 81 | $0.00 | |
| 0503F | 14 | 14 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 19 | 19 | $0.00 |
| 90744 | 12 | 12 | $0.00 | |
| 99000 | 12 | 12 | $0.00 | |
| 90791 | 1,049 | 944 | $0.00 | |
| 81002 | 3,937 | 3,509 | $0.00 | |
| 99391 | 3,665 | 3,260 | $0.00 | |
| 99212 | 7,947 | 7,073 | $0.00 | |
| 90715 | 1,349 | 1,301 | $0.00 | |
| 90832 | 6,456 | 4,063 | $0.00 | |
| 81025 | 3,894 | 3,438 | $0.00 | |
| 99395 | 1,537 | 1,485 | $0.00 | |
| 90710 | 765 | 742 | $0.00 | |
| 99203 | 1,526 | 1,501 | $0.00 | |
| 87880 | 3,906 | 3,442 | $0.00 | |
| 90649 | 188 | 186 | $0.00 | |
| 99394 | 2,199 | 2,084 | $0.00 | |
| 90734 | 856 | 836 | $0.00 | |
| 90670 | 2,451 | 2,257 | $0.00 | |
| 90707 | 554 | 541 | $0.00 | |
| 90700 | 556 | 546 | $0.00 | |
| 99396 | 754 | 726 | $0.00 | |
| 99393 | 3,107 | 2,913 | $0.00 | |
| 0502F | 4,289 | 2,805 | $0.00 | |
| 90633 | 1,990 | 1,898 | $0.00 | |
| 90681 | 244 | 239 | $0.00 | |
| 99392 | 4,048 | 3,744 | $0.00 | |
| 96160 | 607 | 539 | $0.00 | |
| 99382 | 73 | 72 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 310 | 265 | $0.00 |
| 3077F | 168 | 165 | $0.00 | |
| 90837 | 152 | 96 | $0.00 | |
| 99201 | 134 | 128 | $0.00 | |
| 59025 | 429 | 173 | $0.00 | |
| 99401 | 368 | 134 | $0.00 | |
| 90713 | 31 | 29 | $0.00 | |
| 3078F | 54 | 53 | $0.00 | |
| 86703 | 14 | 14 | $0.00 |