NPI: 1639167570 · BELLEVILLE, IL 62220 · 207ZP0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 50,254 | $294K |
| 2019 | 71,810 | $376K |
| 2020 | 79,147 | $442K |
| 2021 | 69,813 | $580K |
| 2022 | 73,369 | $496K |
| 2023 | 68,638 | $401K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87633 | 1,790 | 1,602 | $306K | |
| 80053 | 50,231 | 36,407 | $262K | |
| 85025 | 67,984 | 41,434 | $202K | |
| 87651 | 7,496 | 7,188 | $170K | |
| 87389 | 1,898 | 1,763 | $99K | |
| 80307 | 3,498 | 3,041 | $84K | |
| 80048 | 18,920 | 9,516 | $81K | |
| 87086 | 13,527 | 12,005 | $71K | |
| 87040 | 5,507 | 4,465 | $69K | |
| 84484 | 14,095 | 10,818 | $69K | |
| 87491 | 2,836 | 2,703 | $63K | |
| 87591 | 2,830 | 2,699 | $63K | |
| 84443 | 7,577 | 7,005 | $62K | |
| 87804 | 6,131 | 5,864 | $60K | |
| 87502 | 1,555 | 1,451 | $55K | |
| 87798 | 1,208 | 1,112 | $55K | |
| 83735 | 13,531 | 7,886 | $47K | |
| 82805 | 2,405 | 1,589 | $44K | |
| 87486 | 1,805 | 1,606 | $41K | |
| 87581 | 1,800 | 1,606 | $41K | |
| 83605 | 7,520 | 5,865 | $40K | |
| 83690 | 11,117 | 9,609 | $38K | |
| 83880 | 3,535 | 2,931 | $35K | |
| 80306 | 5,939 | 5,030 | $35K | |
| 87186 | 5,475 | 4,576 | $33K | |
| 80061 | 7,427 | 6,852 | $24K | |
| 81003 | 17,162 | 15,394 | $21K | |
| 85610 | 9,833 | 6,743 | $20K | |
| 81025 | 8,981 | 8,029 | $19K | |
| 87880 | 2,231 | 2,186 | $17K | |
| 86901 | 6,640 | 5,436 | $17K | |
| 85379 | 4,366 | 3,699 | $17K | |
| 83036 | 5,188 | 4,691 | $16K | |
| 84703 | 4,566 | 4,278 | $16K | |
| 86900 | 8,059 | 6,664 | $15K | |
| 84702 | 3,305 | 2,681 | $15K | |
| 86850 | 5,000 | 4,274 | $15K | |
| 82803 | 1,230 | 1,107 | $14K | |
| 87088 | 2,452 | 2,257 | $14K | |
| 82306 | 2,120 | 1,959 | $14K | |
| 85730 | 4,379 | 3,661 | $14K | |
| 82607 | 2,106 | 1,928 | $13K | |
| 87070 | 3,330 | 3,092 | $11K | |
| 85027 | 3,373 | 2,664 | $10K | |
| 84439 | 2,083 | 1,946 | $9K | |
| 87205 | 4,556 | 3,972 | $9K | |
| 87808 | 1,109 | 1,042 | $9K | |
| 81001 | 5,574 | 5,074 | $8K | |
| 82746 | 1,469 | 1,346 | $8K | |
| 83550 | 1,824 | 1,675 | $8K | |
| 82728 | 1,853 | 1,438 | $7K | |
| 86140 | 2,916 | 1,931 | $7K | |
| 83540 | 1,954 | 1,796 | $6K | |
| 87807 | 1,143 | 1,099 | $6K | |
| 87340 | 781 | 723 | $5K | |
| 86885 | 1,674 | 1,504 | $5K | |
| 82150 | 1,527 | 1,331 | $5K | |
| 86803 | 596 | 559 | $5K | |
| 87081 | 1,617 | 1,495 | $5K | |
| 87077 | 1,173 | 780 | $5K | |
| 87430 | 599 | 585 | $5K | |
| 80305 | 1,012 | 891 | $5K | |
| 87147 | 2,167 | 1,911 | $4K | |
| 86780 | 452 | 420 | $4K | |
| 80202 | 503 | 284 | $3K | |
| 81000 | 1,750 | 1,545 | $2K | |
| 82570 | 988 | 887 | $2K | |
| 82330 | 221 | 178 | $2K | |
| 82553 | 451 | 361 | $2K | |
| 85652 | 1,438 | 1,280 | $2K | |
| 83615 | 648 | 506 | $2K | |
| 87634 | 88 | 73 | $2K | |
| 82043 | 812 | 779 | $2K | |
| 86880 | 560 | 509 | $2K | |
| 86592 | 539 | 508 | $1K | |
| 85014 | 921 | 826 | $1K | |
| 82248 | 575 | 447 | $1K | |
| 85018 | 864 | 768 | $1K | |
| 84145 | 55 | 27 | $898.15 | |
| 82550 | 234 | 171 | $864.50 | |
| 80076 | 181 | 141 | $697.65 | |
| 85060 | 149 | 111 | $586.44 | |
| 88307 | 21 | 19 | $582.11 | |
| 86762 | 122 | 104 | $529.45 | |
| 86706 | 73 | 68 | $520.87 | |
| 82247 | 186 | 109 | $475.11 | |
| 88305 | 15 | 14 | $447.73 | |
| 82948 | 217 | 115 | $445.77 | |
| 87811 | 13 | 12 | $413.80 | |
| 85007 | 230 | 171 | $402.50 | |
| 87400 | 42 | 42 | $356.16 | |
| 85046 | 108 | 58 | $282.15 | |
| 86308 | 115 | 113 | $276.00 | |
| 84550 | 122 | 99 | $264.29 | |
| 87428 | 82 | 81 | $246.00 | |
| 85651 | 99 | 98 | $227.70 | |
| 84132 | 51 | 49 | $195.72 | |
| 87220 | 75 | 60 | $194.27 | |
| 82947 | 70 | 64 | $193.84 | |
| 84156 | 161 | 128 | $191.51 | |
| 87075 | 30 | 27 | $191.27 | |
| 82565 | 81 | 79 | $191.06 | |
| 85520 | 40 | 12 | $180.78 | |
| 80164 | 31 | 26 | $160.22 | |
| 84153 | 25 | 25 | $158.40 | |
| 84302 | 124 | 106 | $151.75 | |
| 82950 | 52 | 49 | $114.17 | |
| 87661 | 12 | 12 | $113.36 | |
| 82140 | 25 | 13 | $109.25 | |
| 82272 | 69 | 61 | $82.13 | |
| 85378 | 17 | 13 | $58.25 | |
| 81015 | 35 | 29 | $45.85 | |
| 82010 | 13 | 12 | $31.85 | |
| 80050 | 1,661 | 1,518 | $0.00 |