NPI: 1578025896 · EAST CHICAGO, IN 46312 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 467 | $15K |
| 2020 | 1,104 | $21K |
| 2021 | 2,429 | $61K |
| 2022 | 5,862 | $172K |
| 2023 | 6,541 | $209K |
| 2024 | 5,902 | $168K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,945 | 5,236 | $384K | |
| T1015 | Clinic service | 8,140 | 6,877 | $94K |
| 99213 | 1,229 | 1,036 | $67K | |
| 99391 | 462 | 435 | $36K | |
| G0467 | Fqhc visit, estab pt | 1,500 | 1,203 | $18K |
| 90472 | 551 | 516 | $13K | |
| 90471 | 1,097 | 1,015 | $12K | |
| 99392 | 71 | 70 | $6K | |
| 99238 | 42 | 41 | $2K | |
| 90682 | 60 | 49 | $2K | |
| 83036 | 440 | 393 | $2K | |
| 99460 | 29 | 27 | $2K | |
| 90686 | 205 | 168 | $1K | |
| 99393 | 20 | 16 | $1K | |
| 90670 | 224 | 212 | $773.97 | |
| 81002 | 190 | 171 | $483.05 | |
| 87804 | 14 | 14 | $454.68 | |
| 96372 | 43 | 36 | $345.41 | |
| 90656 | 37 | 37 | $284.73 | |
| 96110 | 13 | 13 | $126.49 | |
| 90651 | 13 | 12 | $13.58 | |
| 3074F | 377 | 358 | $0.00 | |
| 3079F | 154 | 149 | $0.00 | |
| G0008 | Admin influenza virus vac | 20 | 14 | $0.00 |
| 3075F | 15 | 15 | $0.00 | |
| 3078F | 328 | 312 | $0.00 | |
| 90671 | 72 | 70 | $0.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 14 | 12 | $0.00 |