NPI: 1568192458 · FORT WAYNE, IN 46805 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,043 | $102K |
| 2023 | 23,363 | $855K |
| 2024 | 13,987 | $568K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,284 | 2,754 | $379K | |
| 99213 | 6,250 | 3,859 | $375K | |
| T1015 | Clinic service | 16,296 | 9,816 | $372K |
| 99392 | 963 | 577 | $80K | |
| 99393 | 798 | 519 | $66K | |
| 99391 | 729 | 412 | $53K | |
| 99394 | 550 | 363 | $47K | |
| 90472 | 1,658 | 955 | $33K | |
| 90471 | 2,514 | 1,466 | $31K | |
| 99204 | 197 | 81 | $22K | |
| 90792 | 114 | 91 | $14K | |
| 99212 | 322 | 245 | $10K | |
| 87804 | 809 | 331 | $10K | |
| 87811 | 241 | 199 | $8K | |
| 90837 | 115 | 64 | $7K | |
| 99383 | 67 | 30 | $5K | |
| 99384 | 48 | 30 | $3K | |
| 99173 | 1,239 | 836 | $2K | |
| G0467 | Fqhc visit, estab pt | 33 | 25 | $1K |
| 87880 | 111 | 94 | $1K | |
| 83036 | 174 | 100 | $1K | |
| 90834 | 16 | 12 | $1K | |
| 87807 | 82 | 62 | $846.14 | |
| 90474 | 57 | 27 | $736.70 | |
| 90671 | 320 | 216 | $452.20 | |
| 99385 | 13 | 12 | $351.31 | |
| 90686 | 119 | 80 | $346.70 | |
| 96110 | 64 | 29 | $346.12 | |
| 90656 | 44 | 37 | $79.72 | |
| 90651 | 86 | 56 | $0.00 | |
| 90647 | 592 | 300 | $0.00 | |
| 90677 | 49 | 49 | $0.00 | |
| 90723 | 549 | 282 | $0.00 | |
| 90697 | 24 | 24 | $0.00 | |
| 90620 | 41 | 32 | $0.00 | |
| 90710 | 58 | 38 | $0.00 | |
| 90633 | 238 | 135 | $0.00 | |
| 90670 | 321 | 124 | $0.00 | |
| 90734 | 118 | 86 | $0.00 | |
| 90681 | 90 | 38 | $0.00 |