NPI: 1598086928 · BROOKFIELD, WI 53045 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,340 | $1.20M |
| 2019 | 7,445 | $797K |
| 2020 | 5,026 | $786K |
| 2021 | 1,274 | $102K |
| 2022 | 57 | $310.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q9991 | Buprenorph xr 100 mg or less | 990 | 638 | $902K |
| Q9992 | Buprenorphine xr over 100 mg | 680 | 475 | $715K |
| 80307 | 9,600 | 2,073 | $400K | |
| J3490 | Drugs unclassified injection | 315 | 156 | $230K |
| 90837 | 2,508 | 1,058 | $216K | |
| J2315 | Naltrexone, depot form | 189 | 116 | $132K |
| 99354 | 2,254 | 1,058 | $125K | |
| 99212 | 2,702 | 842 | $37K | |
| 99213 | 1,929 | 1,159 | $32K | |
| 99401 | 3,807 | 392 | $30K | |
| 99211 | 2,763 | 554 | $27K | |
| 99214 | 782 | 426 | $23K | |
| 99215 | Prolong outpt/office vis | 111 | 94 | $7K |
| 80305 | 885 | 344 | $4K | |
| 90834 | 597 | 256 | $3K | |
| 96372 | 467 | 358 | $917.49 | |
| 90791 | 13 | 12 | $768.16 | |
| G2212 | Prolong outpt/office vis | 29 | 17 | $499.86 |
| 96150 | 15 | 12 | $94.12 | |
| 90833 | 506 | 283 | $83.53 |