NPI: 1568883718 · PEORIA, IL 61603 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27,254 | $1.44M |
| 2019 | 60,914 | $2.12M |
| 2020 | 41,162 | $2.15M |
| 2021 | 37,564 | $2.17M |
| 2022 | 38,640 | $2.44M |
| 2023 | 46,638 | $3.09M |
| 2024 | 40,331 | $3.00M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 121,097 | 91,460 | $16.38M |
| T1040 | Comm bh clinic svc per diem | 130 | 94 | $10K |
| 59430 | 316 | 301 | $5K | |
| 0001A | 44 | 44 | $2K | |
| 0124A | 63 | 57 | $2K | |
| 90651 | 1,858 | 1,621 | $1K | |
| 90670 | 5,704 | 4,908 | $1K | |
| 0002A | 29 | 28 | $1K | |
| 0503F | 1,068 | 921 | $975.00 | |
| 0500F | 2,872 | 2,608 | $879.76 | |
| 90715 | 3,524 | 3,107 | $561.01 | |
| 0003A | 13 | 13 | $547.82 | |
| 90633 | 3,495 | 3,029 | $308.30 | |
| 90716 | 1,655 | 1,396 | $264.12 | |
| 90734 | 1,231 | 1,106 | $264.10 | |
| 90707 | 1,645 | 1,388 | $229.68 | |
| 90710 | 1,409 | 1,183 | $214.37 | |
| 90648 | 5,317 | 4,485 | $172.46 | |
| 96110 | 825 | 753 | $144.72 | |
| 90688 | 679 | 425 | $135.00 | |
| 90723 | 3,981 | 3,373 | $70.80 | |
| 99213 | 45,266 | 35,921 | $56.70 | |
| 90696 | 1,179 | 1,003 | $53.13 | |
| 99214 | 15,717 | 13,256 | $42.50 | |
| G2012 | Brief check in by md/qhp | 25 | 19 | $13.19 |
| 90658 | 51 | 50 | $6.40 | |
| 81002 | 1,215 | 1,054 | $0.00 | |
| 90681 | 3,211 | 2,860 | $0.00 | |
| 99395 | 1,817 | 1,679 | $0.00 | |
| 99391 | 7,963 | 6,909 | $0.00 | |
| 99212 | 3,497 | 3,251 | $0.00 | |
| 99396 | 524 | 493 | $0.00 | |
| 11721 | 221 | 187 | $0.00 | |
| 99203 | 1,339 | 1,192 | $0.00 | |
| 99394 | 2,716 | 2,415 | $0.00 | |
| 99393 | 4,562 | 4,029 | $0.00 | |
| 81025 | 4,787 | 4,174 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 83 | 78 | $0.00 |
| J3301 | Triamcinolone acet inj nos | 129 | 120 | $0.00 |
| 99201 | 85 | 61 | $0.00 | |
| 99392 | 6,967 | 6,036 | $0.00 | |
| 99204 | 253 | 249 | $0.00 | |
| 90700 | 1,039 | 930 | $0.00 | |
| 0502F | 13,014 | 7,706 | $0.00 | |
| 87880 | 241 | 239 | $0.00 | |
| 87804 | 203 | 199 | $0.00 | |
| 90671 | 1,319 | 1,124 | $0.00 | |
| 96379 | 85 | 79 | $0.00 | |
| 3077F | 24 | 23 | $0.00 | |
| 3089F | 14 | 12 | $0.00 | |
| 90472 | 44 | 18 | $0.00 | |
| 90380 | 20 | 19 | $0.00 | |
| 90653 | 164 | 94 | $0.00 | |
| 90686 | 5,908 | 5,208 | $0.00 | |
| 99383 | 41 | 41 | $0.00 | |
| 90471 | 2,943 | 2,411 | $0.00 | |
| Q3014 | Telehealth facility fee | 2,309 | 1,675 | $0.00 |
| G8510 | Scr dep neg, no plan reqd | 1,101 | 1,055 | $0.00 |
| 2000F | 44 | 44 | $0.00 | |
| 90620 | 255 | 235 | $0.00 | |
| 99381 | 1,722 | 1,553 | $0.00 | |
| 90697 | 1,613 | 1,565 | $0.00 | |
| 90792 | 178 | 172 | $0.00 | |
| 99202 | 427 | 287 | $0.00 | |
| 96127 | 168 | 160 | $0.00 | |
| 90732 | 43 | 41 | $0.00 | |
| 90656 | 539 | 509 | $0.00 | |
| 57454 | 21 | 13 | $0.00 | |
| 20610 | 165 | 123 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| 90381 | 169 | 146 | $0.00 | |
| 90677 | 13 | 12 | $0.00 | |
| 3092F | 12 | 12 | $0.00 | |
| 86580 | 15 | 13 | $0.00 | |
| 3008F | 46 | 45 | $0.00 | |
| 58100 | 12 | 12 | $0.00 | |
| 3080F | 16 | 15 | $0.00 |