NPI: 1669430773 · CHICAGO, IL 60612 · 207ZP0105X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 19 | $2K |
| 2022 | 13 | $1K |
| 2023 | 379,791 | $3.24M |
| 2024 | 709,830 | $5.52M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87633 | 6,955 | 6,578 | $1.19M | |
| 87389 | 20,265 | 19,809 | $754K | |
| 87491 | 23,916 | 23,181 | $510K | |
| 87591 | 23,882 | 23,162 | $509K | |
| 80053 | 65,569 | 42,940 | $317K | |
| 87661 | 19,723 | 19,139 | $282K | |
| 80307 | 6,333 | 5,642 | $251K | |
| 82805 | 8,151 | 3,914 | $250K | |
| 85025 | 76,174 | 44,300 | $218K | |
| 80048 | 48,222 | 24,082 | $195K | |
| 83735 | 49,094 | 14,924 | $167K | |
| 84443 | 19,457 | 18,245 | $159K | |
| 86832 | 1,619 | 1,358 | $158K | |
| 87486 | 7,385 | 6,989 | $156K | |
| 87581 | 7,382 | 6,986 | $156K | |
| 86833 | 1,573 | 1,318 | $149K | |
| 87798 | 6,297 | 5,934 | $133K | |
| 86780 | 16,443 | 16,110 | $130K | |
| 85027 | 45,100 | 28,731 | $129K | |
| 86480 | 4,832 | 4,670 | $125K | |
| 86803 | 13,179 | 12,827 | $103K | |
| 87086 | 19,459 | 16,555 | $93K | |
| 82306 | 9,620 | 8,910 | $89K | |
| 87536 | 2,035 | 1,951 | $87K | |
| 80061 | 20,120 | 18,941 | $81K | |
| 83036 | 22,915 | 21,575 | $74K | |
| 84100 | 40,553 | 10,694 | $70K | |
| 87040 | 6,456 | 3,674 | $65K | |
| 87497 | 2,727 | 1,929 | $60K | |
| 87624 | 4,117 | 4,103 | $59K | |
| 87506 | 583 | 535 | $51K | |
| 84484 | 8,929 | 6,406 | $51K | |
| 82330 | 6,527 | 2,428 | $50K | |
| 83970 | 3,140 | 2,694 | $49K | |
| 83880 | 3,858 | 3,289 | $47K | |
| 82962 | 33,109 | 13,142 | $47K | |
| 87340 | 7,626 | 7,284 | $46K | |
| 86850 | 13,100 | 9,829 | $40K | |
| 87641 | 1,955 | 1,677 | $39K | |
| 83605 | 7,214 | 3,891 | $38K | |
| 80197 | 7,228 | 2,611 | $37K | |
| 82728 | 8,535 | 7,714 | $37K | |
| 85730 | 10,511 | 4,536 | $36K | |
| 87088 | 7,227 | 6,691 | $36K | |
| 82607 | 6,044 | 5,605 | $36K | |
| 83550 | 8,315 | 7,591 | $35K | |
| 87799 | 1,542 | 1,165 | $35K | |
| 87653 | 1,694 | 1,622 | $35K | |
| 85610 | 17,675 | 8,592 | $35K | |
| 83655 | 5,609 | 5,549 | $33K | |
| 87522 | Neg quan hep c or qual rna | 1,344 | 1,269 | $33K |
| 86003 | 710 | 625 | $29K | |
| 87186 | 4,622 | 4,076 | $27K | |
| 86901 | 13,958 | 10,551 | $27K | |
| 83540 | 8,531 | 7,782 | $27K | |
| 87102 | 7,870 | 7,622 | $25K | |
| 83690 | 6,931 | 5,605 | $23K | |
| 87205 | 12,699 | 11,274 | $22K | |
| 86900 | 13,958 | 10,554 | $22K | |
| 81001 | 15,397 | 12,831 | $22K | |
| 86038 | 3,081 | 2,929 | $22K | |
| 84439 | 4,880 | 4,525 | $21K | |
| 86140 | 9,028 | 7,309 | $21K | |
| 82570 | 8,854 | 6,660 | $21K | |
| 86704 | 2,867 | 2,707 | $20K | |
| 83615 | 9,031 | 3,489 | $20K | |
| 85007 | 11,892 | 5,325 | $20K | |
| 87517 | 798 | 765 | $20K | |
| 82746 | 3,478 | 3,210 | $20K | |
| 84403 | 1,537 | 1,429 | $19K | |
| 86787 | 2,694 | 2,596 | $19K | |
| 87635 | 419 | 409 | $18K | |
| 82043 | 9,146 | 7,431 | $18K | |
| 82105 | 1,982 | 1,879 | $16K | |
| 83520 | 1,611 | 1,425 | $16K | |
| 81003 | 14,594 | 12,098 | $16K | |
| 87081 | 4,895 | 4,705 | $14K | |
| 83516 | 1,854 | 1,728 | $14K | |
| 81382 | 37 | 28 | $14K | |
| 84153 | 2,454 | 2,357 | $14K | |
| 82784 | 1,278 | 1,176 | $13K | |
| 81025 | 4,722 | 4,345 | $13K | |
| 86235 | 493 | 458 | $13K | |
| 86361 | 1,432 | 1,364 | $12K | |
| 86762 | 2,596 | 2,511 | $12K | |
| 84702 | 2,319 | 1,662 | $11K | |
| 87070 | 3,264 | 2,435 | $11K | |
| 80074 | 553 | 514 | $11K | |
| 83001 | 1,167 | 1,087 | $10K | |
| 87338 | 1,189 | 1,169 | $10K | |
| 85045 | 7,634 | 3,136 | $10K | |
| 84156 | 8,111 | 6,053 | $10K | |
| 80202 | 1,377 | 696 | $9K | |
| 84146 | 1,313 | 1,224 | $9K | |
| 85652 | 6,718 | 6,279 | $9K | |
| 86920 | 2,242 | 1,563 | $9K | |
| 85379 | 2,182 | 1,372 | $9K | |
| 85384 | 2,444 | 883 | $8K | |
| 82088 | 372 | 343 | $7K | |
| 80069 | 1,745 | 1,477 | $7K | |
| 86225 | 1,210 | 1,123 | $7K | |
| 81378 | 53 | 44 | $7K | |
| 84425 | 1,042 | 947 | $7K | |
| 84681 | 960 | 796 | $7K | |
| 86708 | 1,377 | 1,285 | $7K | |
| 82670 | 742 | 695 | $7K | |
| 82785 | 1,251 | 1,157 | $6K | |
| 84030 | 2,481 | 1,823 | $6K | |
| 82533 | 778 | 619 | $6K | |
| 87430 | 790 | 771 | $6K | |
| 80076 | 1,729 | 1,643 | $6K | |
| 86160 | 720 | 664 | $6K | |
| 84207 | 645 | 603 | $6K | |
| 86200 | 1,104 | 1,073 | $6K | |
| 82248 | 4,050 | 1,894 | $6K | |
| 82140 | 1,214 | 521 | $6K | |
| 84550 | 3,680 | 1,563 | $6K | |
| 84445 | 357 | 339 | $6K | |
| 84270 | 682 | 621 | $6K | |
| 87075 | 687 | 619 | $5K | |
| 82150 | 1,634 | 928 | $5K | |
| 84145 | 317 | 240 | $5K | |
| 82378 | 771 | 640 | $5K | |
| 82550 | 2,072 | 1,543 | $5K | |
| 82247 | 2,766 | 1,095 | $5K | |
| 86360 | 340 | 319 | $5K | |
| 86146 | 203 | 179 | $5K | |
| 86644 | 694 | 578 | $5K | |
| 83002 | 825 | 745 | $5K | |
| 87015 | 1,328 | 939 | $5K | |
| 86735 | 731 | 684 | $5K | |
| 86431 | 1,375 | 1,340 | $5K | |
| 83921 | 655 | 594 | $4K | |
| 84244 | 388 | 355 | $4K | |
| 89051 | 1,386 | 897 | $4K | |
| 86880 | 1,387 | 1,274 | $4K | |
| 86694 | 570 | 536 | $4K | |
| 86664 | 467 | 438 | $4K | |
| 86039 | 740 | 692 | $4K | |
| 84132 | 1,904 | 1,403 | $4K | |
| 86829 | 176 | 159 | $4K | |
| 86359 | 330 | 309 | $4K | |
| 86665 | 207 | 196 | $4K | |
| 85598 | 503 | 472 | $4K | |
| 82950 | 1,631 | 1,602 | $4K | |
| 83498 | 429 | 398 | $4K | |
| 82810 | 897 | 716 | $4K | |
| 84480 | 783 | 712 | $4K | |
| 86663 | 444 | 416 | $4K | |
| 36512 | 32 | 29 | $4K | |
| 86902 | 624 | 329 | $3K | |
| 86147 | 237 | 212 | $3K | |
| 86765 | 769 | 721 | $3K | |
| 80164 | 710 | 514 | $3K | |
| 85660 | 946 | 707 | $3K | |
| 87147 | 794 | 748 | $3K | |
| 86301 | 283 | 220 | $3K | |
| 84300 | 1,360 | 1,034 | $3K | |
| 86705 | 425 | 417 | $3K | |
| 82652 | 242 | 228 | $3K | |
| 85018 | 2,323 | 1,859 | $3K | |
| 86870 | 315 | 264 | $3K | |
| 83993 | 436 | 419 | $3K | |
| 82627 | 403 | 375 | $3K | |
| 86304 | 260 | 207 | $3K | |
| 86376 | 571 | 542 | $3K | |
| 86592 | 1,279 | 1,241 | $3K | |
| 87449 | 341 | 277 | $3K | |
| 82010 | 911 | 683 | $2K | |
| 82103 | 544 | 504 | $2K | |
| 83010 | 558 | 442 | $2K | |
| 84630 | 450 | 420 | $2K | |
| 83930 | 934 | 600 | $2K | |
| 82164 | 511 | 484 | $2K | |
| 80177 | 474 | 427 | $2K | |
| 82951 | 361 | 359 | $2K | |
| 87529 | 106 | 97 | $2K | |
| 86593 | 1,094 | 1,057 | $2K | |
| 86357 | 141 | 124 | $2K | |
| 86355 | 141 | 124 | $2K | |
| 82390 | 448 | 412 | $2K | |
| 87530 | 59 | 56 | $2K | |
| 82947 | 1,055 | 781 | $2K | |
| 84703 | 579 | 555 | $2K | |
| 86709 | 559 | 524 | $2K | |
| 82024 | 161 | 142 | $2K | |
| 84134 | 435 | 391 | $2K | |
| 82436 | 858 | 695 | $2K | |
| 84133 | 892 | 716 | $2K | |
| 85549 | 305 | 290 | $2K | |
| 83935 | 724 | 528 | $2K | |
| 84305 | 223 | 210 | $2K | |
| 84302 | 1,092 | 715 | $2K | |
| 85240 | 246 | 212 | $2K | |
| 82525 | 286 | 266 | $2K | |
| 84160 | 1,047 | 972 | $1K | |
| 87209 | 185 | 164 | $1K | |
| 87210 | 555 | 530 | $1K | |
| 82610 | 239 | 218 | $1K | |
| 86800 | 228 | 213 | $1K | |
| 87116 | 215 | 141 | $1K | |
| 80165 | 243 | 186 | $1K | |
| 84460 | 693 | 616 | $1K | |
| 82945 | 797 | 530 | $1K | |
| 84157 | 893 | 575 | $1K | |
| 84478 | 790 | 438 | $1K | |
| 83835 | 168 | 150 | $1K | |
| 82977 | 603 | 504 | $1K | |
| 85245 | 126 | 109 | $938.65 | |
| 83090 | 146 | 132 | $928.50 | |
| 82375 | 233 | 219 | $922.20 | |
| 84481 | 168 | 145 | $858.57 | |
| 84466 | 185 | 172 | $810.53 | |
| 82270 | 585 | 558 | $810.50 | |
| 85247 | 107 | 94 | $801.44 | |
| 86777 | 128 | 119 | $793.75 | |
| 85246 | 107 | 94 | $791.70 | |
| 80178 | 235 | 176 | $759.05 | |
| 87177 | 183 | 163 | $699.10 | |
| 87385 | 101 | 89 | $693.66 | |
| 87176 | 176 | 156 | $684.95 | |
| 82747 | 103 | 99 | $679.42 | |
| 82040 | 446 | 336 | $626.23 | |
| 85300 | 136 | 108 | $620.20 | |
| 82104 | 139 | 122 | $613.78 | |
| 82232 | 107 | 98 | $572.20 | |
| 82952 | 289 | 288 | $546.26 | |
| 84540 | 297 | 265 | $534.15 | |
| 84238 | 44 | 39 | $517.30 | |
| 85014 | 450 | 387 | $494.16 | |
| 83789 | 60 | 54 | $483.41 | |
| 85306 | 78 | 68 | $473.85 | |
| 87101 | 152 | 144 | $461.90 | |
| 85303 | 78 | 69 | $450.45 | |
| 86695 | 63 | 63 | $427.35 | |
| 86696 | 39 | 39 | $381.72 | |
| 84450 | 226 | 194 | $373.68 | |
| 82787 | 81 | 79 | $362.48 | |
| 84080 | 67 | 55 | $312.36 | |
| 84520 | 199 | 170 | $310.08 | |
| 82565 | 191 | 183 | $302.32 | |
| 84075 | 206 | 176 | $299.22 | |
| 84446 | 63 | 61 | $293.21 | |
| 82310 | 196 | 124 | $284.54 | |
| 80185 | 42 | 25 | $266.09 | |
| 84590 | 65 | 61 | $258.12 | |
| 87305 | 35 | 26 | $252.43 | |
| 82553 | 54 | 40 | $226.40 | |
| 80175 | 30 | 26 | $200.30 | |
| 87109 | 39 | 32 | $196.57 | |
| 87350 | 27 | 26 | $195.52 | |
| 80170 | 38 | 27 | $190.49 | |
| 87206 | 98 | 71 | $184.80 | |
| 82955 | 43 | 37 | $181.02 | |
| 84436 | 63 | 56 | $174.72 | |
| 82139 | 29 | 25 | $169.89 | |
| 83519 | 13 | 13 | $165.00 | |
| 87184 | 30 | 25 | $161.06 | |
| 86341 | 13 | 12 | $156.75 | |
| 82800 | 46 | 45 | $151.80 | |
| 84597 | 29 | 26 | $132.36 | |
| 82172 | 18 | 12 | $126.66 | |
| 82340 | 47 | 43 | $118.80 | |
| 82379 | 15 | 12 | $88.15 | |
| 86753 | 14 | 13 | $86.80 | |
| 86308 | 36 | 35 | $86.40 | |
| 86337 | 13 | 13 | $79.46 | |
| 82042 | 31 | 24 | $69.82 | |
| 80156 | 14 | 14 | $57.59 | |
| 86703 | 13 | 12 | $48.02 | |
| 86403 | 13 | 12 | $44.98 | |
| 82085 | 14 | 14 | $44.10 | |
| 86317 | 1,084 | 1,014 | $28.10 | |
| 87106 | 693 | 644 | $0.00 | |
| 80354 | 140 | 134 | $0.00 | |
| 80365 | 49 | 45 | $0.00 | |
| 87077 | 1,540 | 1,337 | $0.00 | |
| 80349 | 56 | 55 | $0.00 | |
| 80353 | 31 | 30 | $0.00 | |
| 80358 | 13 | 12 | $0.00 |