NPI: 1578038022 · WEST ALLIS, WI 53214 · 3336L0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 23 | $663.00 |
| 2020 | 24 | $646.43 |
| 2021 | 172 | $2K |
| 2022 | 230 | $3K |
| 2023 | 165 | $11K |
| 2024 | 7,582 | $118K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Misc/exper non-prescript dru | 7,458 | 1,206 | $110K |
| 91322 | 88 | 88 | $12K | |
| 90686 | 209 | 203 | $3K | |
| 99605 | 30 | 30 | $2K | |
| 0064A | 64 | 64 | $2K | |
| 0134A | 37 | 37 | $1K | |
| 90656 | 32 | 32 | $1K | |
| 0004A | 25 | 25 | $915.84 | |
| 0001A | 17 | 17 | $648.72 | |
| 0002A | 17 | 17 | $648.72 | |
| 0013A | 12 | 12 | $419.76 | |
| 99607 | 31 | 31 | $0.00 | |
| 91306 | 63 | 63 | $0.00 | |
| 91301 | 12 | 12 | $0.00 | |
| 91300 | 64 | 45 | $0.00 | |
| 91313 | 37 | 37 | $0.00 |