NPI: 1598016305 · SPRINGFIELD, MO 65803 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,188 | $99K |
| 2019 | 3,958 | $84K |
| 2020 | 1,402 | $46K |
| 2021 | 1,861 | $98K |
| 2022 | 686 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 9,707 | 655 | $366K | |
| 85041 | 206 | 184 | $0.00 | |
| 83970 | 140 | 125 | $0.00 | |
| 83540 | 120 | 111 | $0.00 | |
| 85048 | 204 | 182 | $0.00 | |
| A4657 | Syringe w/wo needle | 128 | 111 | $0.00 |
| Q4081 | Epoetin alfa, 100 units esrd | 1,298 | 88 | $0.00 |
| 83550 | 120 | 111 | $0.00 | |
| 82728 | 100 | 93 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 59 | 37 | $0.00 |
| G0008 | Admin influenza virus vac | 13 | 12 | $0.00 |