NPI: 1649677170 · THORNTON, CO 80241 · 293D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 660 | $105K |
| 2019 | 630 | $115K |
| 2020 | 118 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 72148 | 428 | 386 | $112K | |
| 70553 | 82 | 77 | $36K | |
| 72141 | 118 | 103 | $31K | |
| 70551 | 84 | 83 | $27K | |
| 73721 | 157 | 129 | $27K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 210 | 101 | $1K |
| 71046 | 46 | 44 | $1K | |
| 76856 | 14 | 13 | $915.53 | |
| 76705 | 12 | 12 | $823.20 | |
| 76830 | 13 | 12 | $792.70 | |
| 76536 | 12 | 12 | $784.90 | |
| A9585 | Gadobutrol injection | 36 | 25 | $512.32 |
| A9575 | Inj gadoterate meglumi 0.1ml | 196 | 186 | $144.59 |