NPI: 1548216476 · SPARTA, IL 62286 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,299 | $115K |
| 2019 | 5,802 | $315K |
| 2020 | 3,479 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97110 | 3,557 | 561 | $527K | |
| 97162 | 155 | 119 | $30K | |
| 84443 | 959 | 845 | $5K | |
| 80053 | 1,548 | 1,287 | $3K | |
| 87086 | 476 | 426 | $2K | |
| 77067 | 31 | 24 | $2K | |
| 71046 | 150 | 142 | $1K | |
| 85025 | 1,614 | 1,327 | $974.73 | |
| 87400 | 213 | 193 | $933.19 | |
| 72110 | 33 | 27 | $480.97 | |
| 80061 | 855 | 770 | $348.40 | |
| 83036 | 496 | 448 | $346.97 | |
| 84439 | 497 | 431 | $303.53 | |
| 87491 | 27 | 27 | $268.06 | |
| 87591 | 27 | 27 | $245.75 | |
| 86038 | 22 | 12 | $215.19 | |
| 73564 | 19 | 14 | $210.91 | |
| 80048 | 91 | 88 | $210.00 | |
| 82306 | 32 | 25 | $146.54 | |
| 87070 | 63 | 59 | $132.96 | |
| 73630 | 12 | 12 | $104.89 | |
| 83655 | 17 | 17 | $80.78 | |
| 86701 | 18 | 12 | $31.55 | |
| 36415 | 504 | 422 | $23.94 | |
| 82728 | 16 | 13 | $20.91 | |
| 77063 | 17 | 12 | $13.73 | |
| 86140 | 36 | 25 | $11.45 | |
| 85652 | 42 | 30 | $10.19 | |
| 82570 | 18 | 12 | $4.54 | |
| 87635 | 35 | 34 | $0.30 |