NPI: 1629026398 · BLOOMINGTON, IL 61701 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 252 | $11K |
| 2019 | 370 | $17K |
| 2020 | 429 | $16K |
| 2021 | 1,078 | $52K |
| 2022 | 605 | $33K |
| 2023 | 565 | $37K |
| 2024 | 204 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,495 | 1,241 | $71K | |
| 99214 | 772 | 682 | $58K | |
| U0003 | Cov-19 amp prb hgh thruput | 292 | 168 | $22K |
| 99393 | 95 | 75 | $7K | |
| 0241U | 46 | 42 | $6K | |
| 99394 | 63 | 51 | $5K | |
| U0002 | Covid-19 lab test non-cdc | 88 | 82 | $5K |
| 87651 | 46 | 44 | $2K | |
| 96110 | 104 | 91 | $2K | |
| U0005 | Infec agen detec ampli probe | 75 | 68 | $2K |
| 96127 | 108 | 88 | $2K | |
| 87502 | 13 | 13 | $934.18 | |
| 87880 | 14 | 13 | $219.80 | |
| 1036F | 14 | 13 | $0.00 | |
| 1220F | 14 | 13 | $0.00 | |
| 99072 | 126 | 112 | $0.00 | |
| 1003F | 138 | 98 | $0.00 |