NPI: 1649795659 · MARION, IL 62959 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,058 | $35K |
| 2019 | 7,800 | $230K |
| 2020 | 8,109 | $304K |
| 2021 | 7,331 | $295K |
| 2022 | 7,145 | $301K |
| 2023 | 6,161 | $266K |
| 2024 | 20,021 | $763K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 29,633 | 23,469 | $2.17M |
| T1040 | Comm bh clinic svc per diem | 135 | 81 | $8K |
| 90792 | 1,687 | 1,406 | $5K | |
| 99214 | 13,556 | 11,695 | $5K | |
| 99213 | 5,788 | 4,427 | $3K | |
| 87880 | 505 | 481 | $0.00 | |
| 90633 | 106 | 106 | $0.00 | |
| 90837 | 50 | 30 | $0.00 | |
| 99394 | 70 | 70 | $0.00 | |
| 99392 | 463 | 457 | $0.00 | |
| 90700 | 29 | 29 | $0.00 | |
| 90461 | 364 | 364 | $0.00 | |
| 90833 | 60 | 52 | $0.00 | |
| 90460 | 451 | 451 | $0.00 | |
| 99393 | 202 | 201 | $0.00 | |
| 87804 | 49 | 47 | $0.00 | |
| 99204 | 54 | 53 | $0.00 | |
| 90707 | 43 | 43 | $0.00 | |
| G2211 | Complex e/m visit add on | 2,849 | 2,588 | $0.00 |
| 99391 | 690 | 601 | $0.00 | |
| 90710 | 46 | 46 | $0.00 | |
| 90681 | 72 | 72 | $0.00 | |
| 90472 | 21 | 21 | $0.00 | |
| 90734 | 23 | 23 | $0.00 | |
| 90715 | 16 | 16 | $0.00 | |
| 99203 | 28 | 28 | $0.00 | |
| 90791 | 14 | 14 | $0.00 | |
| 90696 | 45 | 45 | $0.00 | |
| 87807 | 16 | 13 | $0.00 | |
| 90723 | 195 | 195 | $0.00 | |
| 96372 | 15 | 14 | $0.00 | |
| 90656 | 32 | 32 | $0.00 | |
| 90647 | 201 | 197 | $0.00 | |
| S5190 | Wellness assessment by nonph | 26 | 25 | $0.00 |
| 99383 | 14 | 13 | $0.00 | |
| 90651 | 25 | 25 | $0.00 | |
| 90716 | 17 | 17 | $0.00 | |
| 90471 | 23 | 23 | $0.00 | |
| 99381 | 12 | 12 | $0.00 |