NPI: 1609343128 · BLOOMINGTON, IL 61704 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,473 | $73K |
| 2020 | 484 | $13K |
| 2021 | 546 | $30K |
| 2022 | 617 | $53K |
| 2023 | 559 | $47K |
| 2024 | 51 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99285 | 868 | 833 | $86K | |
| 99284 | 529 | 506 | $37K | |
| J1050 | Medroxyprogesterone acetate | 626 | 559 | $29K |
| 99214 | 430 | 354 | $22K | |
| 99213 | 342 | 275 | $12K | |
| 87426 | 201 | 160 | $7K | |
| 96372 | 706 | 554 | $7K | |
| S4993 | Contraceptive pills for bc | 161 | 147 | $6K |
| 99202 | 126 | 120 | $4K | |
| 87806 | 185 | 138 | $4K | |
| 81025 | 809 | 588 | $2K | |
| 99283 | 52 | 52 | $2K | |
| 76817 | 18 | 13 | $1K | |
| 87210 | 267 | 227 | $1K | |
| 83986 | 266 | 227 | $911.98 | |
| 99211 | 51 | 38 | $641.09 | |
| 99212 | 12 | 12 | $307.80 | |
| 85018 | 81 | 54 | $174.00 |