NPI: 1659757888 · FLOSSMOOR, IL 60422 · 367A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,920 | $61K |
| 2019 | 3,412 | $73K |
| 2020 | 571 | $9K |
| 2021 | 587 | $12K |
| 2022 | 911 | $21K |
| 2023 | 2,504 | $59K |
| 2024 | 1,580 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 921 | 763 | $62K | |
| 99401 | 2,056 | 1,477 | $55K | |
| J1050 | Medroxyprogesterone acetate | 1,297 | 992 | $52K |
| 87806 | 1,897 | 1,570 | $36K | |
| 76817 | 349 | 284 | $25K | |
| J7307 | Etonogestrel implant system | 13 | 13 | $15K |
| 96372 | 1,130 | 773 | $11K | |
| J8499 | Oral prescrip drug non chemo | 287 | 263 | $10K |
| 81025 | 2,477 | 1,826 | $10K | |
| 99213 | 180 | 154 | $9K | |
| 76830 | 89 | 84 | $6K | |
| 87210 | 685 | 545 | $3K | |
| 99204 | 27 | 26 | $2K | |
| S4993 | Contraceptive pills for bc | 47 | 41 | $2K |
| 83986 | 434 | 332 | $1K | |
| 85018 | 387 | 303 | $874.64 | |
| 86901 | 145 | 131 | $676.80 | |
| 99211 | 39 | 34 | $489.58 | |
| A4267 | Male condom | 25 | 13 | $334.49 |