NPI: 1669463360 · LOGAN, OH 43138 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,126 | $466K |
| 2019 | 25,916 | $533K |
| 2020 | 24,768 | $540K |
| 2021 | 28,431 | $582K |
| 2022 | 21,841 | $481K |
| 2023 | 21,552 | $476K |
| 2024 | 16,742 | $218K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 35,532 | 29,129 | $2.27M |
| 99213 | 40,936 | 25,858 | $710K | |
| 99214 | 6,990 | 4,500 | $185K | |
| G0467 | Fqhc visit, estab pt | 4,877 | 3,966 | $43K |
| 99212 | 3,346 | 1,982 | $40K | |
| 99215 | Prolong outpt/office vis | 652 | 378 | $24K |
| 90471 | 934 | 551 | $5K | |
| 90686 | 1,322 | 807 | $5K | |
| G2025 | Dis site tele svcs rhc/fqhc | 239 | 205 | $4K |
| 83036 | 1,275 | 905 | $3K | |
| 90837 | 71 | 24 | $3K | |
| 90674 | 258 | 173 | $2K | |
| 99395 | 41 | 24 | $1K | |
| 36416 | 1,298 | 911 | $1K | |
| 90834 | 38 | 12 | $1K | |
| 90832 | 105 | 57 | $666.33 | |
| 90715 | 53 | 37 | $561.24 | |
| 90661 | 32 | 28 | $554.22 | |
| 90460 | 40 | 27 | $420.60 | |
| 96372 | 28 | 24 | $291.40 | |
| 82948 | 426 | 341 | $170.93 | |
| 81002 | 208 | 169 | $54.81 | |
| 93000 | 66 | 60 | $4.11 | |
| 3074F | 10,193 | 6,028 | $0.65 | |
| 3079F | 4,332 | 2,543 | $0.64 | |
| 3078F | 7,430 | 4,380 | $0.60 | |
| 3075F | 1,226 | 713 | $0.32 | |
| 3077F | 138 | 82 | $0.07 | |
| 4004F | 4,988 | 2,869 | $0.00 | |
| 3725F | 3,439 | 1,995 | $0.00 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 24 | 24 | $0.00 |
| 99203 | 108 | 100 | $0.00 | |
| 99393 | 13 | 13 | $0.00 | |
| 99173 | 12 | 12 | $0.00 | |
| 90648 | 12 | 12 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| 3008F | 16,564 | 9,626 | $0.00 | |
| 1036F | 8,695 | 4,957 | $0.00 | |
| 3080F | 312 | 189 | $0.00 | |
| 87430 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 70 | 53 | $0.00 |
| 90656 | 29 | 26 | $0.00 |