NPI: 1578598249 · LA PORTE, IN 46350 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 593 | $8K |
| 2019 | 4,426 | $71K |
| 2020 | 5,901 | $62K |
| 2021 | 6,203 | $59K |
| 2022 | 5,003 | $47K |
| 2023 | 1,705 | $32K |
| 2024 | 2,040 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 16,160 | 918 | $306K | |
| J1756 | Iron sucrose injection | 136 | 36 | $790.61 |
| 83970 | 249 | 175 | $651.17 | |
| 84466 | 624 | 459 | $534.22 | |
| 83540 | 697 | 503 | $359.24 | |
| 87340 | 393 | 281 | $261.61 | |
| 82728 | 249 | 175 | $217.62 | |
| A4657 | Syringe w/wo needle | 839 | 150 | $191.86 |
| 82306 | 86 | 55 | $180.46 | |
| 84520 | 1,056 | 415 | $81.87 | |
| 85025 | 590 | 451 | $79.41 | |
| 86706 | 87 | 55 | $72.81 | |
| 84100 | 733 | 414 | $55.98 | |
| 83550 | 64 | 42 | $43.73 | |
| 84155 | 642 | 480 | $37.04 | |
| 82565 | 439 | 346 | $32.56 | |
| 82310 | 706 | 444 | $26.47 | |
| 84132 | 117 | 92 | $22.90 | |
| 84075 | 285 | 204 | $22.43 | |
| 82040 | 522 | 335 | $19.37 | |
| 84295 | 94 | 79 | $17.50 | |
| 82435 | 94 | 79 | $15.39 | |
| 82374 | 94 | 79 | $15.39 | |
| 85014 | 123 | 64 | $11.77 | |
| 85018 | 448 | 247 | $10.52 | |
| 80051 | 344 | 260 | $7.61 |