NPI: 1649479650 · SPRINGFIELD, IL 62704 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,670 | $22K |
| 2019 | 3,818 | $56K |
| 2020 | 3,840 | $74K |
| 2021 | 2,776 | $77K |
| 2022 | 6,609 | $108K |
| 2023 | 5,355 | $111K |
| 2024 | 4,909 | $120K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 2,997 | 2,821 | $133K | |
| 70450 | 1,685 | 1,566 | $93K | |
| 71275 | 568 | 527 | $53K | |
| 74176 | 1,016 | 972 | $37K | |
| 71046 | 6,438 | 5,846 | $34K | |
| 76830 | 1,023 | 919 | $33K | |
| 76856 | 891 | 803 | $26K | |
| 71260 | 539 | 479 | $22K | |
| 76705 | 1,008 | 939 | $20K | |
| 71045 | 4,549 | 4,155 | $17K | |
| 72125 | 486 | 402 | $13K | |
| 71250 | 398 | 331 | $12K | |
| 73630 | 1,056 | 831 | $11K | |
| 73610 | 838 | 716 | $11K | |
| 73030 | 1,100 | 913 | $10K | |
| 73560 | 1,117 | 914 | $10K | |
| 71271 | 270 | 227 | $9K | |
| 72100 | 485 | 426 | $6K | |
| 73502 | 429 | 338 | $3K | |
| 27096 | 15 | 15 | $3K | |
| 73110 | 221 | 188 | $2K | |
| 73130 | 213 | 191 | $2K | |
| 74018 | 309 | 276 | $2K | |
| 72040 | 119 | 104 | $1K | |
| 74178 | 27 | 26 | $1K | |
| 73564 | 78 | 46 | $850.21 | |
| 72050 | 45 | 40 | $732.47 | |
| 70486 | 20 | 12 | $573.96 | |
| 73562 | 42 | 27 | $516.64 | |
| 76770 | 14 | 13 | $347.12 | |
| 73080 | 25 | 24 | $232.59 | |
| 77080 | 17 | 16 | $107.62 | |
| 72072 | 14 | 12 | $105.64 | |
| G9637 | Doc >1 dose reduc tech | 925 | 820 | $0.00 |