NPI: 1558917443 · MAUMEE, OH 43537 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 355 | $101K |
| 2021 | 3,741 | $1.17M |
| 2022 | 7,541 | $1.28M |
| 2023 | 717 | $220K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99202 | 3,466 | 3,370 | $1.05M | |
| 99204 | 2,314 | 2,312 | $744K | |
| 99343 | 1,833 | 1,830 | $607K | |
| 99203 | 405 | 383 | $124K | |
| 99342 | 377 | 373 | $112K | |
| 99345 | Prolong home eval add 15m | 123 | 98 | $39K |
| 99205 | Prolong outpt/office vis | 134 | 134 | $34K |
| 99212 | 67 | 67 | $21K | |
| 99215 | Prolong outpt/office vis | 49 | 49 | $16K |
| 99349 | 29 | 29 | $11K | |
| 99341 | 21 | 21 | $8K | |
| 99344 | 28 | 28 | $5K | |
| 99213 | 13 | 13 | $4K | |
| 3074F | 227 | 227 | $0.00 | |
| 1170F | 739 | 737 | $0.00 | |
| 1123F | 320 | 320 | $0.00 | |
| 1125F | 350 | 350 | $0.00 | |
| 1126F | 47 | 47 | $0.00 | |
| 3079F | 56 | 56 | $0.00 | |
| 3075F | 15 | 15 | $0.00 | |
| 1159F | 664 | 663 | $0.00 | |
| 1158F | 618 | 616 | $0.00 | |
| 1124F | 201 | 200 | $0.00 | |
| 3078F | 258 | 258 | $0.00 |