NPI: 1538213285 · SULLIVAN, IL 61951 · Public Health or Welfare Agency · NPI assigned 01/22/2007
| Authorized Official | HOGAN, ANGELA (ADMINISTRATOR) |
| NPI Enumeration Date | 01/22/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 505 | $7K |
| 2019 | 687 | $9K |
| 2020 | 316 | $4K |
| 2021 | 413 | $5K |
| 2022 | 453 | $6K |
| 2023 | 400 | $5K |
| 2024 | 413 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2,462 | 2,107 | $29K |
| 90686 | 313 | 278 | $4K | |
| 90734 | 72 | 67 | $2K | |
| 90619 | 95 | 72 | $1K | |
| 90715 | 81 | 57 | $1K | |
| 90651 | 40 | 26 | $812.46 | |
| 90656 | 29 | 16 | $568.83 | |
| 90633 | 43 | 43 | $308.09 | |
| 90696 | 15 | 13 | $96.00 | |
| 90670 | 13 | 13 | $83.20 | |
| 90707 | 12 | 12 | $76.80 | |
| 90716 | 12 | 12 | $76.80 |