NPI: 1588701239 · BRANSON, MO 65616 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,937 | $125K |
| 2019 | 5,321 | $119K |
| 2020 | 6,406 | $135K |
| 2021 | 5,657 | $123K |
| 2022 | 4,331 | $128K |
| 2023 | 5,164 | $147K |
| 2024 | 2,709 | $88K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 15,589 | 1,405 | $866K | |
| 83970 | 258 | 246 | $33.02 | |
| 84132 | 1,551 | 1,102 | $31.40 | |
| 82374 | 1,162 | 1,100 | $11.70 | |
| 84295 | 773 | 721 | $11.52 | |
| 82435 | 1,162 | 1,100 | $11.04 | |
| 82728 | 233 | 230 | $10.90 | |
| 87340 | 1,109 | 1,072 | $8.26 | |
| 82040 | 1,198 | 1,099 | $7.92 | |
| 82310 | 1,338 | 1,099 | $4.12 | |
| 82565 | 1,162 | 1,100 | $4.09 | |
| 84100 | 1,389 | 1,097 | $3.79 | |
| 84075 | 1,138 | 1,097 | $0.00 | |
| 83550 | 38 | 38 | $0.00 | |
| 85027 | 716 | 697 | $0.00 | |
| 82306 | 89 | 89 | $0.00 | |
| A4657 | Syringe w/wo needle | 215 | 215 | $0.00 |
| J3490 | Drugs unclassified injection | 830 | 98 | $0.00 |
| 83735 | 62 | 62 | $0.00 | |
| 84466 | 889 | 855 | $0.00 | |
| 84155 | 1,025 | 987 | $0.00 | |
| 83540 | 1,108 | 1,073 | $0.00 | |
| 84520 | 410 | 395 | $0.00 | |
| J0887 | Epoetin beta esrd use | 19 | 12 | $0.00 |
| 82108 | 62 | 62 | $0.00 |