NPI: 1669571113 · SPRINGFIELD, IL 62702 · 2084N0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 273 | $29K |
| 2019 | 353 | $24K |
| 2020 | 458 | $20K |
| 2021 | 336 | $11K |
| 2022 | 415 | $14K |
| 2023 | 303 | $14K |
| 2024 | 221 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0475 | Baclofen 10 mg injection | 93 | 86 | $44K |
| 99214 | 999 | 923 | $36K | |
| 95886 | 292 | 268 | $20K | |
| 99213 | 753 | 712 | $17K | |
| 96413 | 22 | 13 | $1K | |
| 95909 | 15 | 15 | $1K | |
| 96415 | 22 | 13 | $631.25 | |
| 62370 | 48 | 43 | $612.04 | |
| 99231 | 38 | 12 | $410.00 | |
| 96375 | 22 | 13 | $343.19 | |
| J2930 | Methylprednisolone injection | 17 | 13 | $218.09 |
| 95990 | 13 | 12 | $117.64 | |
| J1200 | Diphenhydramine hcl injectio | 25 | 13 | $25.86 |