NPI: 1548291222 · FORT WAYNE, IN 46802 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 35,108 | $724K |
| 2019 | 32,276 | $1.05M |
| 2020 | 43,389 | $1.26M |
| 2021 | 76,382 | $1.96M |
| 2022 | 118,391 | $2.47M |
| 2023 | 139,140 | $3.07M |
| 2024 | 56,643 | $1.63M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 63,019 | 49,833 | $3.05M | |
| 99214 | 27,782 | 22,398 | $1.84M | |
| T1015 | Clinic service | 110,952 | 77,147 | $1.24M |
| 99392 | 6,887 | 5,875 | $547K | |
| 99391 | 6,928 | 5,874 | $508K | |
| 99393 | 4,102 | 3,597 | $321K | |
| 59425 | 6,283 | 3,620 | $292K | |
| 90837 | 3,438 | 1,692 | $277K | |
| 90471 | 30,066 | 23,418 | $270K | |
| D1351 | 16,334 | 3,038 | $257K | |
| D9999 | 33,056 | 22,661 | $231K | |
| 90472 | 15,616 | 11,568 | $217K | |
| 87635 | 5,660 | 4,668 | $215K | |
| D0150 | 6,557 | 4,717 | $167K | |
| 59426 | 2,695 | 1,027 | $165K | |
| D7140 | 2,776 | 1,215 | $164K | |
| 92004 | 1,753 | 1,448 | $162K | |
| D1206 | 12,232 | 8,946 | $143K | |
| 98941 | 4,805 | 1,193 | $141K | |
| 90834 | 2,738 | 1,546 | $134K | |
| D0330 | 3,733 | 2,574 | $133K | |
| 99203 | 2,466 | 1,945 | $128K | |
| D2392 | 2,549 | 1,358 | $120K | |
| 99394 | 1,598 | 1,245 | $114K | |
| D0140 | 4,096 | 3,067 | $94K | |
| D0120 | 5,862 | 4,102 | $91K | |
| D1110 | 2,740 | 1,875 | $89K | |
| 99212 | 2,549 | 2,021 | $77K | |
| D0274 | 3,580 | 2,677 | $68K | |
| D1120 | 3,109 | 2,173 | $67K | |
| 90832 | 1,898 | 1,004 | $65K | |
| 83036 | 8,719 | 7,198 | $57K | |
| 99381 | 919 | 769 | $48K | |
| 87591 | 5,088 | 3,809 | $46K | |
| D2391 | 1,278 | 684 | $44K | |
| D0210 | 2,027 | 1,570 | $39K | |
| 90686 | 2,831 | 2,199 | $34K | |
| 87110 | 5,072 | 3,797 | $32K | |
| V2020 | Vision svcs frames purchases | 1,721 | 1,442 | $29K |
| 36416 | 13,100 | 10,801 | $28K | |
| 92015 | 2,176 | 1,850 | $28K | |
| D9230 | 1,255 | 902 | $26K | |
| D2393 | 344 | 218 | $23K | |
| 87811 | 1,075 | 874 | $23K | |
| 99202 | 549 | 482 | $22K | |
| D0220 | 2,847 | 2,103 | $22K | |
| 87804 | 1,915 | 1,591 | $22K | |
| 87880 | 2,006 | 1,679 | $21K | |
| 96372 | 2,121 | 1,576 | $19K | |
| G0467 | Fqhc visit, estab pt | 823 | 566 | $17K |
| 99204 | 585 | 458 | $17K | |
| 99395 | 280 | 239 | $15K | |
| 90715 | 759 | 605 | $12K | |
| 90656 | 1,122 | 987 | $10K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 531 | 472 | $10K |
| D2930 | 62 | 46 | $9K | |
| 0071A | 260 | 250 | $9K | |
| 0072A | 233 | 231 | $8K | |
| 87661 | 678 | 463 | $8K | |
| 96158 | 235 | 152 | $8K | |
| 92014 | 106 | 89 | $8K | |
| 85018 | 4,293 | 3,662 | $8K | |
| 0081A | 213 | 202 | $7K | |
| 0124A | 248 | 203 | $7K | |
| D0272 | 556 | 403 | $7K | |
| 99383 | 68 | 64 | $6K | |
| 0004A | 173 | 165 | $6K | |
| 87210 | 1,314 | 1,047 | $5K | |
| 0082A | 127 | 127 | $5K | |
| 90474 | 336 | 279 | $4K | |
| 99396 | 140 | 114 | $3K | |
| 96156 | 85 | 65 | $2K | |
| 99385 | 31 | 25 | $2K | |
| D4910 | 46 | 41 | $2K | |
| J3490 | Drugs unclassified injection | 135 | 68 | $2K |
| 90480 | 116 | 59 | $2K | |
| 0001A | 52 | 51 | $2K | |
| 90651 | 440 | 301 | $2K | |
| 99215 | Prolong outpt/office vis | 26 | 25 | $1K |
| 99382 | 15 | 14 | $1K | |
| 99386 | 13 | 12 | $1K | |
| 81002 | 989 | 711 | $1K | |
| V2784 | Lens polycarb or equal | 30 | 28 | $956.40 |
| 90670 | 5,249 | 4,418 | $838.69 | |
| 0002A | 30 | 29 | $781.41 | |
| 59025 | 19 | 12 | $667.23 | |
| 90734 | 292 | 201 | $604.96 | |
| D0145 | 27 | 13 | $603.50 | |
| 0083A | 14 | 14 | $520.94 | |
| J1050 | Medroxyprogesterone acetate | 1,583 | 1,231 | $510.62 |
| 0013A | 13 | 13 | $483.73 | |
| 0173A | 14 | 12 | $483.73 | |
| 81001 | 255 | 194 | $415.15 | |
| 0154A | 23 | 12 | $409.31 | |
| 85025 | 74 | 60 | $289.37 | |
| 80061 | 44 | 36 | $216.93 | |
| 84443 | 19 | 14 | $201.60 | |
| 80053 | 39 | 32 | $146.72 | |
| 3044F | 30 | 24 | $120.00 | |
| 84439 | 19 | 14 | $117.26 | |
| 90723 | 3,257 | 2,814 | $85.26 | |
| 90633 | 2,986 | 2,487 | $37.99 | |
| 99211 | 233 | 179 | $21.70 | |
| 90688 | 7,515 | 6,287 | $10.90 | |
| 90685 | 552 | 500 | $3.78 | |
| 90647 | 2,401 | 2,017 | $3.19 | |
| 90698 | 1,269 | 1,067 | $3.11 | |
| 90680 | 1,358 | 1,142 | $2.34 | |
| 90681 | 1,226 | 1,017 | $1.54 | |
| 90707 | 332 | 263 | $0.21 | |
| 90744 | 126 | 98 | $0.18 | |
| 90716 | 271 | 215 | $0.14 | |
| 90710 | 133 | 100 | $0.03 | |
| 91300 | 437 | 410 | $0.00 | |
| 90671 | 661 | 503 | $0.00 | |
| 3078F | 77 | 69 | $0.00 | |
| 91308 | 385 | 362 | $0.00 | |
| 90700 | 98 | 81 | $0.00 | |
| 91312 | 241 | 201 | $0.00 | |
| 3077F | 17 | 14 | $0.00 | |
| 91301 | 49 | 47 | $0.00 | |
| 91319 | 25 | 14 | $0.00 | |
| 91307 | 637 | 572 | $0.00 | |
| 90677 | 556 | 506 | $0.00 | |
| D0602 | 107 | 104 | $0.00 | |
| 91317 | 64 | 38 | $0.00 | |
| 3061F | 13 | 12 | $0.00 | |
| D0601 | 214 | 210 | $0.00 | |
| 3074F | 107 | 99 | $0.00 | |
| 91315 | 23 | 12 | $0.00 | |
| D0603 | 106 | 105 | $0.00 | |
| 3048F | 28 | 26 | $0.00 | |
| 3079F | 43 | 39 | $0.00 | |
| 90696 | 16 | 12 | $0.00 |