NPI: 1548227390 · POTOSI, MO 63664 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,104 | $85K |
| 2019 | 5,614 | $99K |
| 2020 | 3,010 | $102K |
| 2021 | 297 | $13K |
| 2022 | 2,929 | $47K |
| 2023 | 647 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 7,144 | 675 | $362K | |
| A4657 | Syringe w/wo needle | 3,723 | 346 | $3K |
| 85018 | 859 | 276 | $931.40 | |
| 84520 | 543 | 263 | $223.20 | |
| 80051 | 162 | 148 | $169.26 | |
| 82565 | 190 | 172 | $155.84 | |
| 82040 | 341 | 187 | $154.88 | |
| 82310 | 342 | 184 | $152.90 | |
| 85025 | 181 | 175 | $95.22 | |
| 84155 | 119 | 110 | $38.41 | |
| 83540 | 298 | 274 | $0.00 | |
| 84100 | 280 | 196 | $0.00 | |
| 83970 | 285 | 262 | $0.00 | |
| 82108 | 13 | 13 | $0.00 | |
| 83550 | 82 | 75 | $0.00 | |
| 82728 | 27 | 25 | $0.00 | |
| 83735 | 12 | 12 | $0.00 |