NPI: 1578198420 · NORMAL, IL 61761 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,807 | $62K |
| 2021 | 3,795 | $114K |
| 2022 | 1,330 | $29K |
| 2023 | 63 | $3K |
| 2024 | 50 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99401 | 2,338 | 1,524 | $63K | |
| J1050 | Medroxyprogesterone acetate | 1,087 | 626 | $48K |
| 99214 | 549 | 412 | $36K | |
| S4993 | Contraceptive pills for bc | 624 | 405 | $23K |
| 99213 | 495 | 306 | $16K | |
| 87806 | 364 | 254 | $7K | |
| 81025 | 1,405 | 842 | $6K | |
| 96372 | 549 | 308 | $5K | |
| 58300 | 23 | 12 | $2K | |
| 99070 | 97 | 53 | $2K | |
| J8499 | Oral prescrip drug non chemo | 42 | 27 | $1K |
| 87210 | 215 | 126 | $954.10 | |
| 99204 | 13 | 12 | $856.30 | |
| 83986 | 210 | 125 | $696.96 | |
| 99203 | 17 | 12 | $543.35 | |
| 99202 | 17 | 12 | $481.60 |