NPI: 1619232204 · GRAND RAPIDS, MI 49504 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,619 | $187K |
| 2020 | 1,151 | $91K |
| 2021 | 5,261 | $242K |
| 2022 | 2,430 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0003 | Cov-19 amp prb hgh thruput | 5,235 | 3,244 | $355K |
| U0005 | Infec agen detec ampli probe | 3,023 | 2,217 | $62K |
| 81317 | 456 | 220 | $59K | |
| 81408 | 474 | 221 | $46K | |
| 81406 | 425 | 221 | $22K | |
| 81432 | 489 | 221 | $19K | |
| 81201 | 434 | 221 | $14K | |
| G2023 | Specimen collect covid-19 | 584 | 552 | $11K |
| 81405 | 493 | 221 | $9K | |
| 81437 | 108 | 81 | $7K | |
| 81404 | 492 | 221 | $6K | |
| 81403 | 421 | 221 | $3K | |
| 81407 | 148 | 110 | $1K | |
| 81401 | 149 | 111 | $400.04 | |
| 81235 | 148 | 110 | $256.67 | |
| 81209 | 147 | 110 | $58.97 | |
| 81242 | 147 | 109 | $54.93 | |
| 81479 | 88 | 57 | $0.00 |