NPI: 1598770646 · RACINE, WI 53402 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 44 | $1K |
| 2019 | 29 | $928.20 |
| 2020 | 153 | $2K |
| 2021 | 1,927 | $34K |
| 2022 | 766 | $14K |
| 2023 | 148 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 420 | 399 | $15K | |
| 0001A | 433 | 417 | $15K | |
| 90686 | 290 | 229 | $7K | |
| 91320 | 80 | 53 | $6K | |
| 90674 | 175 | 160 | $6K | |
| 0124A | 78 | 78 | $3K | |
| 0072A | 54 | 54 | $2K | |
| 0004A | 54 | 53 | $2K | |
| 0071A | 41 | 41 | $2K | |
| 0003A | 30 | 30 | $1K | |
| 0052A | 21 | 21 | $763.20 | |
| 0054A | 18 | 18 | $648.72 | |
| A4627 | Spacer bag/reservoir | 48 | 37 | $141.75 |
| 91300 | 980 | 869 | $0.00 | |
| 91312 | 78 | 78 | $0.00 | |
| 91307 | 112 | 97 | $0.00 | |
| 91305 | 155 | 153 | $0.00 |