NPI: 1609068303 · LIVONIA, MI 48154 · 207KA0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,528 | $38K |
| 2019 | 1,750 | $23K |
| 2020 | 1,440 | $16K |
| 2021 | 2,368 | $44K |
| 2022 | 4,102 | $115K |
| 2023 | 1,922 | $91K |
| 2024 | 680 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J2357 | Omalizumab injection | 130 | 109 | $96K |
| 99213 | 1,116 | 843 | $50K | |
| 95117 | 6,486 | 2,954 | $41K | |
| 95165 | 282 | 160 | $38K | |
| 99214 | 535 | 512 | $37K | |
| 95004 | 310 | 300 | $31K | |
| 99205 | Prolong outpt/office vis | 178 | 177 | $21K |
| 94375 | 261 | 251 | $5K | |
| 96372 | 387 | 331 | $5K | |
| 99203 | 65 | 65 | $4K | |
| 95012 | 348 | 332 | $4K | |
| 99457 | 84 | 55 | $2K | |
| 99204 | 14 | 14 | $1K | |
| 99458 | 51 | 33 | $1K | |
| 96160 | 132 | 124 | $83.92 | |
| 99072 | 817 | 702 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 2,405 | 1,972 | $0.00 |
| A4617 | Mouth piece | 189 | 179 | $0.00 |