NPI: 1548278476 · ALTON, IL 62002 · 341600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,583 | $41K |
| 2019 | 5,787 | $117K |
| 2020 | 4,489 | $139K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97110 | 3,860 | 538 | $200K | |
| 99283 | 772 | 707 | $19K | |
| 87631 | 213 | 198 | $11K | |
| 80307 | 508 | 370 | $10K | |
| U0003 | Cov-19 amp prb hgh thruput | 126 | 90 | $9K |
| 99284 | 233 | 204 | $9K | |
| 99285 | 162 | 144 | $8K | |
| 70450 | 39 | 33 | $6K | |
| 97161 | 189 | 123 | $5K | |
| 74177 | 27 | 27 | $4K | |
| 80053 | 923 | 719 | $3K | |
| 71046 | 305 | 274 | $2K | |
| 77067 | 36 | 34 | $2K | |
| 87651 | 80 | 75 | $2K | |
| 92507 | 102 | 26 | $1K | |
| 97014 | 33 | 12 | $1K | |
| 99214 | 27 | 24 | $1K | |
| 87086 | 353 | 271 | $928.55 | |
| 84443 | 174 | 151 | $907.19 | |
| 99281 | 52 | 47 | $725.92 | |
| 93005 | 178 | 149 | $696.84 | |
| 85025 | 1,070 | 842 | $561.22 | |
| 81001 | 675 | 525 | $288.45 | |
| 96372 | 118 | 96 | $210.09 | |
| 97010 | 48 | 15 | $205.44 | |
| 96361 | 31 | 26 | $167.34 | |
| 87040 | 29 | 13 | $105.12 | |
| 96374 | 101 | 89 | $86.25 | |
| 81003 | 238 | 189 | $80.28 | |
| 82306 | 74 | 66 | $73.75 | |
| 80061 | 106 | 95 | $72.93 | |
| 87804 | 65 | 58 | $68.71 | |
| 84702 | 43 | 40 | $47.50 | |
| 71045 | 30 | 26 | $46.88 | |
| 94640 | 55 | 45 | $42.33 | |
| 83605 | 47 | 37 | $33.42 | |
| 77063 | 36 | 34 | $27.46 | |
| 96375 | 51 | 44 | $27.22 | |
| 85610 | 79 | 63 | $24.18 | |
| 83036 | 38 | 36 | $21.43 | |
| 80048 | 18 | 17 | $16.12 | |
| 81025 | 60 | 58 | $14.40 | |
| 84484 | 84 | 67 | $10.83 | |
| 84439 | 14 | 12 | $8.64 | |
| 87880 | 21 | 21 | $7.85 | |
| 83690 | 59 | 54 | $6.54 | |
| 36415 | 150 | 125 | $0.43 | |
| 85379 | 16 | 12 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 63 | 58 | $0.00 |
| 85730 | 17 | 15 | $0.00 | |
| 87070 | 15 | 15 | $0.00 | |
| 87077 | 16 | 12 | $0.00 |