NPI: 1679578223 · WELLINGTON, KS 67152 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,472 | $33K |
| 2019 | 542 | $17K |
| 2020 | 15 | $457.94 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 391 | 337 | $13K | |
| G0463 | Hospital outpt clinic visit | 217 | 186 | $11K |
| 99284 | 102 | 89 | $5K | |
| 87804 | 306 | 133 | $5K | |
| 80053 | 404 | 358 | $4K | |
| 99282 | 92 | 83 | $3K | |
| 85025 | 315 | 271 | $1K | |
| 84443 | 91 | 88 | $1K | |
| 96372 | 99 | 38 | $1K | |
| 99285 | 17 | 14 | $1K | |
| 96360 | 15 | 13 | $662.75 | |
| 71046 | 81 | 60 | $560.41 | |
| 85027 | 79 | 56 | $451.19 | |
| 83036 | 42 | 42 | $404.88 | |
| 93005 | 27 | 23 | $367.00 | |
| 80061 | 32 | 32 | $342.36 | |
| 81001 | 116 | 104 | $340.55 | |
| 87280 | 19 | 17 | $316.96 | |
| 86403 | 16 | 16 | $265.65 | |
| 84484 | 22 | 16 | $246.45 | |
| 80048 | 28 | 27 | $171.73 | |
| 82550 | 21 | 14 | $152.32 | |
| 85007 | 79 | 56 | $103.49 | |
| 87086 | 15 | 14 | $92.47 | |
| 99213 | 17 | 15 | $81.68 | |
| 99203 | 38 | 27 | $75.45 | |
| 99202 | 18 | 18 | $50.66 | |
| 99212 | 32 | 25 | $29.76 | |
| J1885 | Ketorolac tromethamine inj | 20 | 13 | $23.11 |
| J2405 | Ondansetron hcl injection | 15 | 12 | $14.03 |
| 36415 | 245 | 179 | $10.32 | |
| J7050 | Normal saline solution infus | 18 | 15 | $5.06 |