NPI: 1568072650 · BRIDGETON, MO 63044 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 45 | $379.32 |
| 2021 | 75 | $2K |
| 2022 | 15 | $248.18 |
| 2023 | 177 | $4K |
| 2024 | 734 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 507 | 320 | $18K | |
| 99348 | 79 | 66 | $4K | |
| 99213 | 108 | 89 | $2K | |
| 76942 | 82 | 61 | $2K | |
| 99309 | 41 | 32 | $1K | |
| 99349 | 29 | 25 | $1K | |
| 99347 | 56 | 41 | $947.14 | |
| 20552 | 38 | 32 | $483.06 | |
| 99202 | 22 | 12 | $379.32 | |
| 99406 | 31 | 13 | $168.74 | |
| J1100 | Dexamethasone sodium phos | 30 | 27 | $0.04 |
| G2023 | Specimen collect covid-19 | 23 | 12 | $0.00 |