NPI: 1619553880 · LATHRUP VILLAGE, MI 48076 · 204C00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $949.76 |
| 2022 | 2,088 | $103K |
| 2023 | 2,248 | $135K |
| 2024 | 1,901 | $125K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,309 | 1,999 | $164K | |
| 99204 | 642 | 636 | $61K | |
| 80307 | 792 | 779 | $33K | |
| 20550 | 334 | 315 | $25K | |
| 72114 | 650 | 649 | $23K | |
| 72050 | 391 | 391 | $12K | |
| 64493 | 103 | 97 | $10K | |
| 76942 | 282 | 264 | $8K | |
| 64490 | 71 | 65 | $7K | |
| 98929 | 136 | 129 | $6K | |
| 64494 | 100 | 94 | $5K | |
| 98928 | 111 | 106 | $4K | |
| 99213 | 53 | 50 | $3K | |
| 73564 | 82 | 54 | $2K | |
| 64491 | 12 | 12 | $584.68 | |
| J1885 | Ketorolac tromethamine inj | 169 | 162 | $226.00 |
| J3301 | Triamcinolone acet inj nos | 15 | 13 | $16.46 |