NPI: 1649799669 · PONTIAC, MI 48341 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,040 | $500K |
| 2019 | 4,122 | $591K |
| 2020 | 2,841 | $339K |
| 2021 | 2,426 | $137K |
| 2022 | 4,785 | $118K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J2315 | Naltrexone, depot form | 1,017 | 968 | $1.17M |
| 99213 | 4,485 | 3,782 | $189K | |
| 99214 | 2,673 | 2,393 | $172K | |
| 99204 | 666 | 648 | $58K | |
| 99203 | 329 | 325 | $20K | |
| 99212 | 546 | 508 | $15K | |
| 80305 | 2,186 | 1,732 | $13K | |
| 99215 | Prolong outpt/office vis | 150 | 143 | $11K |
| 96372 | 1,242 | 1,116 | $9K | |
| 90832 | 213 | 202 | $6K | |
| 80306 | 988 | 727 | $6K | |
| 00731 | 151 | 83 | $5K | |
| 99222 | 56 | 54 | $4K | |
| 99202 | 41 | 41 | $2K | |
| 99406 | 187 | 161 | $1K | |
| 99238 | 33 | 32 | $1K | |
| 00811 | 25 | 13 | $752.93 | |
| 96127 | 228 | 209 | $536.69 | |
| 81025 | 81 | 73 | $427.80 | |
| 36415 | 120 | 108 | $223.76 | |
| 99211 | 15 | 15 | $169.12 | |
| 3080F | 76 | 65 | $0.00 | |
| 3079F | 177 | 165 | $0.00 | |
| 3008F | 551 | 465 | $0.00 | |
| 3074F | 329 | 289 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 129 | 118 | $0.00 |
| 3075F | 56 | 50 | $0.00 | |
| 3078F | 318 | 277 | $0.00 | |
| 4004F | 16 | 15 | $0.00 | |
| 98960 | 22 | 20 | $0.00 | |
| 3077F | 96 | 85 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 12 | 12 | $0.00 |