NPI: 1649596982 · CALUMET CITY, IL 60409 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 269 | $6K |
| 2019 | 450 | $176K |
| 2020 | 295 | $53K |
| 2021 | 434 | $83K |
| 2022 | 299 | $89K |
| 2024 | 56 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99343 | 959 | 738 | $274K | |
| 99202 | 385 | 304 | $102K | |
| 99201 | 86 | 86 | $30K | |
| 99214 | 56 | 53 | $6K | |
| 99213 | 29 | 15 | $1K | |
| 90833 | 16 | 15 | $344.68 | |
| 99344 | 18 | 18 | $0.18 | |
| 3074F | 24 | 24 | $0.00 | |
| 1170F | 62 | 62 | $0.00 | |
| 1157F | 40 | 40 | $0.00 | |
| 1126F | 44 | 44 | $0.00 | |
| 1160F | 22 | 22 | $0.00 | |
| 3078F | 12 | 12 | $0.00 | |
| 1159F | 22 | 22 | $0.00 | |
| G8477 | Bp sys>=140 and/or dias >=90 | 12 | 12 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 16 | 16 | $0.00 |