NPI: 1508884602 · CHICAGO, IL 60630 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,380 | $60K |
| 2019 | 2,212 | $83K |
| 2020 | 2,348 | $92K |
| 2021 | 1,825 | $67K |
| 2022 | 1,767 | $75K |
| 2023 | 1,461 | $60K |
| 2024 | 1,151 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,659 | 4,577 | $248K | |
| 99214 | 2,374 | 2,051 | $148K | |
| 99394 | 523 | 481 | $44K | |
| 99396 | 223 | 197 | $19K | |
| 99393 | 226 | 209 | $17K | |
| 90686 | 1,278 | 1,110 | $15K | |
| 99395 | 27 | 25 | $2K | |
| G2012 | Brief check in by md/qhp | 213 | 92 | $2K |
| 82962 | 700 | 591 | $1K | |
| 0011A | 45 | 38 | $1K | |
| 0012A | 36 | 36 | $875.00 | |
| 90688 | 68 | 52 | $588.26 | |
| 90656 | 41 | 35 | $563.87 | |
| 87804 | 37 | 36 | $485.10 | |
| 87811 | 12 | 12 | $480.00 | |
| 96160 | 29 | 25 | $347.54 | |
| 0013A | 14 | 14 | $330.00 | |
| 82948 | 83 | 66 | $265.48 | |
| 96372 | 23 | 13 | $215.82 | |
| G0008 | Admin influenza virus vac | 21 | 20 | $106.49 |
| 90734 | 14 | 13 | $97.86 | |
| 90651 | 15 | 12 | $70.40 | |
| 81002 | 15 | 13 | $33.80 | |
| 90471 | 13 | 13 | $21.40 | |
| G8484 | Flu immunize no admin | 389 | 348 | $0.00 |
| 90460 | 38 | 33 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 144 | 125 | $0.00 |
| G8482 | Flu immunize order/admin | 152 | 123 | $0.00 |
| 99442 | 40 | 20 | $0.00 | |
| 1036F | 335 | 283 | $0.00 | |
| G8432 | Dep scr not doc, rng | 357 | 305 | $0.00 |