NPI: 1548476120 · MISHAWAKA, IN 46545 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 569 | $0.00 |
| 2022 | 839 | $121.63 |
| 2023 | 35 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 673 | 430 | $121.63 | |
| 90688 | 17 | 13 | $0.00 | |
| 36415 | 199 | 146 | $0.00 | |
| 82962 | 255 | 193 | $0.00 | |
| G0008 | Admin influenza virus vac | 29 | 26 | $0.00 |
| 99489 | Ccm add 20min | 13 | 13 | $0.00 |
| 90686 | 15 | 15 | $0.00 | |
| 99215 | Prolong outpt/office vis | 123 | 102 | $0.00 |
| 99337 | 38 | 27 | $0.00 | |
| 99487 | Ccm add 20min | 20 | 19 | $0.00 |
| 99336 | 61 | 33 | $0.00 |