NPI: 1598771214
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,136 | $40K |
| 2020 | 5,232 | $80K |
| 2021 | 691 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,238 | 824 | $66K | |
| 20552 | 953 | 623 | $40K | |
| 27096 | 56 | 30 | $13K | |
| 62323 | 43 | 26 | $5K | |
| 99203 | 28 | 20 | $1K | |
| 99215 | Prolong outpt/office vis | 14 | 13 | $1K |
| J0702 | Betamethasone acet&sod phosp | 406 | 282 | $711.84 |
| 72190 | 34 | 26 | $674.86 | |
| 20610 | 20 | 17 | $588.84 | |
| 20550 | 33 | 20 | $520.79 | |
| 72070 | 18 | 14 | $336.68 | |
| 72100 | 16 | 15 | $330.33 | |
| 73030 | 20 | 13 | $298.85 | |
| 73502 | 21 | 18 | $239.10 | |
| 72200 | 21 | 16 | $156.10 | |
| 72120 | 17 | 15 | $128.56 | |
| L1833 | Ko adj jnt pos r sup pre ots | 32 | 24 | $113.90 |
| J1885 | Ketorolac tromethamine inj | 224 | 162 | $96.50 |
| 96372 | 197 | 145 | $49.16 | |
| L2810 | Knee control condylar pad | 32 | 24 | $29.26 |
| 1123F | 1,269 | 838 | $0.16 | |
| G8427 | Docrev cur meds by elig clin | 1,270 | 836 | $0.12 |
| 1036F | 860 | 571 | $0.12 | |
| G8417 | Calc bmi abv up param f/u | 342 | 227 | $0.10 |
| G8419 | Calc bmi out nrm param nof/u | 672 | 427 | $0.02 |
| 1034F | 189 | 111 | $0.02 | |
| L0650 | Lso sc r ant/pos pnl pre ots | 34 | 27 | $0.00 |