NPI: 1649660903 · JOLIET, IL 60433 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 108 | $3K |
| 2020 | 350 | $3K |
| 2022 | 13 | $1K |
| 2023 | 3,784 | $173K |
| 2024 | 6,294 | $253K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | 1,171 | 1,095 | $333K | |
| 99213 | 507 | 448 | $72K | |
| 99214 | 539 | 513 | $15K | |
| 99342 | 31 | 28 | $11K | |
| 90686 | 46 | 45 | $858.00 | |
| G0008 | Admin influenza virus vac | 33 | 32 | $146.80 |
| 1159F | 1,329 | 1,327 | $0.00 | |
| 1090F | 1,341 | 1,339 | $0.00 | |
| 1160F | 1,329 | 1,327 | $0.00 | |
| 99490 | Ccm add 20min | 61 | 61 | $0.00 |
| 1158F | 151 | 151 | $0.00 | |
| 1101F | 1,252 | 1,250 | $0.00 | |
| 1125F | 562 | 562 | $0.00 | |
| 1126F | 746 | 744 | $0.00 | |
| 99350 | Prolong home eval add 15m | 94 | 94 | $0.00 |
| 1170F | 1,341 | 1,339 | $0.00 | |
| 90471 | 16 | 16 | $0.00 |