NPI: 1508433707 · EAST CHICAGO, IN 46312 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 666 | $21K |
| 2022 | 3,611 | $100K |
| 2023 | 6,365 | $211K |
| 2024 | 4,329 | $155K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,645 | 3,672 | $269K | |
| T1015 | Clinic service | 7,246 | 5,910 | $75K |
| 99214 | 851 | 700 | $69K | |
| 92014 | 453 | 401 | $41K | |
| 99212 | 286 | 205 | $9K | |
| 92015 | 630 | 549 | $8K | |
| 99394 | 58 | 45 | $4K | |
| 99393 | 41 | 39 | $3K | |
| 99392 | 19 | 19 | $2K | |
| 90686 | 288 | 256 | $2K | |
| 99395 | 18 | 13 | $1K | |
| 87804 | 76 | 27 | $1K | |
| 83036 | 137 | 120 | $898.13 | |
| G0467 | Fqhc visit, estab pt | 39 | 28 | $831.84 |
| 92250 | 35 | 28 | $662.23 | |
| 90656 | 27 | 24 | $213.25 | |
| 83655 | 14 | 14 | $0.00 | |
| 87811 | 40 | 27 | $0.00 | |
| 90651 | 27 | 24 | $0.00 | |
| 87428 | 26 | 23 | $0.00 | |
| 85018 | 15 | 15 | $0.00 |