NPI: 1528062569 · BETHANY, MO 64424 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,464 | $474K |
| 2019 | 4,197 | $229K |
| 2020 | 3,175 | $104K |
| 2021 | 5,199 | $47K |
| 2022 | 5,054 | $119K |
| 2023 | 4,203 | $160K |
| 2024 | 2,563 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 3,084 | 2,218 | $276K | |
| 85025 | 4,437 | 3,771 | $161K | |
| 99284 | 929 | 728 | $153K | |
| 80053 | 3,671 | 3,220 | $107K | |
| 99285 | 384 | 276 | $67K | |
| 36415 | 5,250 | 4,067 | $63K | |
| Y7507 | 111 | 104 | $56K | |
| 87880 | 3,445 | 3,251 | $51K | |
| 87804 | 1,888 | 1,787 | $48K | |
| X4011 | 113 | 101 | $38K | |
| 83605 | 161 | 144 | $38K | |
| 93005 | 179 | 152 | $21K | |
| 81001 | 87 | 82 | $15K | |
| 87428 | 726 | 698 | $15K | |
| 87637 | 113 | 108 | $13K | |
| 84443 | 932 | 893 | $13K | |
| 84484 | 112 | 94 | $13K | |
| Q3014 | Telehealth facility fee | 561 | 493 | $9K |
| 80048 | 29 | 23 | $9K | |
| 83735 | 298 | 273 | $9K | |
| U0004 | Cov-19 test non-cdc hgh thru | 474 | 426 | $9K |
| G0463 | Hospital outpt clinic visit | 230 | 173 | $5K |
| 99282 | 78 | 71 | $5K | |
| 81003 | 359 | 331 | $5K | |
| 87635 | 587 | 554 | $5K | |
| 70450 | 13 | 13 | $4K | |
| 97110 | 144 | 41 | $4K | |
| 85610 | 48 | 38 | $4K | |
| 85730 | 12 | 12 | $4K | |
| 87426 | 217 | 204 | $3K | |
| 80061 | 195 | 185 | $3K | |
| 99281 | 15 | 14 | $2K | |
| 71046 | 61 | 57 | $2K | |
| 99214 | 44 | 43 | $2K | |
| 83036 | 170 | 160 | $1K | |
| U0005 | Infec agen detec ampli probe | 148 | 137 | $870.00 |
| 93041 | 13 | 12 | $762.84 | |
| 87807 | 104 | 95 | $706.13 | |
| 82607 | 59 | 52 | $655.12 | |
| 99212 | 91 | 83 | $623.89 | |
| 72100 | 13 | 13 | $529.01 | |
| 71045 | 13 | 12 | $521.75 | |
| 82306 | 16 | 15 | $424.44 | |
| 73562 | 16 | 12 | $405.56 | |
| 11721 | 23 | 12 | $379.03 | |
| 74018 | 14 | 12 | $292.60 | |
| 84439 | 30 | 29 | $218.13 | |
| 82746 | 14 | 13 | $172.23 | |
| J3490 | Drugs unclassified injection | 132 | 44 | $143.88 |
| 85652 | 12 | 12 | $8.96 |