NPI: 1649557281 · COFFEYVILLE, KS 67337 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,183 | $288K |
| 2019 | 9,020 | $676K |
| 2020 | 11,888 | $776K |
| 2021 | 8,115 | $749K |
| 2022 | 13,654 | $1.23M |
| 2023 | 7,208 | $920K |
| 2024 | 6,160 | $712K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 17,350 | 15,053 | $2.66M | |
| D1206 | 7,106 | 6,840 | $572K | |
| 99214 | 3,509 | 3,143 | $505K | |
| T1015 | Clinic service | 2,308 | 2,139 | $437K |
| D1120 | 2,503 | 2,442 | $266K | |
| D1110 | 1,093 | 1,044 | $133K | |
| D0140 | 1,011 | 930 | $94K | |
| D7140 | 1,158 | 591 | $91K | |
| 99393 | 380 | 370 | $72K | |
| D2392 | 585 | 409 | $57K | |
| 99392 | 297 | 294 | $55K | |
| D0150 | 836 | 778 | $49K | |
| 90832 | 1,031 | 638 | $45K | |
| 99394 | 226 | 222 | $41K | |
| D2391 | 592 | 362 | $39K | |
| 87635 | 1,022 | 979 | $34K | |
| D0330 | 201 | 200 | $27K | |
| D1351 | 3,393 | 800 | $22K | |
| D0120 | 968 | 944 | $20K | |
| D0210 | 133 | 110 | $19K | |
| 99202 | 129 | 122 | $16K | |
| 99203 | 93 | 87 | $15K | |
| D0274 | 334 | 326 | $10K | |
| 87502 | 111 | 111 | $9K | |
| 99391 | 39 | 38 | $9K | |
| D0272 | 453 | 448 | $7K | |
| 96372 | 597 | 534 | $5K | |
| 90471 | 1,501 | 1,435 | $4K | |
| 92551 | 479 | 473 | $4K | |
| D0220 | 1,272 | 1,134 | $3K | |
| 87804 | 269 | 182 | $3K | |
| 87651 | 229 | 227 | $3K | |
| 87426 | 141 | 135 | $3K | |
| 99173 | 555 | 540 | $3K | |
| 99383 | 21 | 17 | $2K | |
| D0145 | 17 | 17 | $2K | |
| 99384 | 13 | 13 | $2K | |
| 87880 | 369 | 363 | $2K | |
| G0467 | Fqhc visit, estab pt | 2,828 | 2,136 | $2K |
| 90686 | 473 | 446 | $2K | |
| D0230 | 615 | 307 | $1K | |
| D1354 | 621 | 202 | $991.86 | |
| 36415 | 944 | 878 | $531.27 | |
| 90472 | 474 | 464 | $393.65 | |
| D9230 | 13 | 13 | $216.65 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 155 | 104 | $164.30 |
| D0270 | 49 | 48 | $59.36 | |
| J1100 | Dexamethasone sodium phos | 12 | 12 | $15.00 |
| 85018 | 13 | 13 | $11.76 | |
| 94760 | 217 | 140 | $0.00 | |
| 3079F | 58 | 53 | $0.00 | |
| 90656 | 62 | 62 | $0.00 | |
| 90677 | 12 | 12 | $0.00 | |
| D9995 | 13 | 13 | $0.00 | |
| 3074F | 54 | 47 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 124 | 110 | $0.00 |
| D1353 | 71 | 16 | $0.00 | |
| 3075F | 46 | 43 | $0.00 | |
| 90651 | 28 | 28 | $0.00 | |
| 90723 | 13 | 13 | $0.00 | |
| 3078F | 204 | 180 | $0.00 | |
| D0191 | 684 | 669 | $0.00 | |
| 99177 | 55 | 55 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| 90715 | 14 | 13 | $0.00 | |
| 90710 | 12 | 12 | $0.00 | |
| 90633 | 14 | 12 | $0.00 | |
| 90734 | 14 | 14 | $0.00 |