NPI: 1689207722 · EVANSTON, WY 82930 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 880 | $98K |
| 2021 | 4,463 | $377K |
| 2022 | 3,905 | $344K |
| 2023 | 2,524 | $233K |
| 2024 | 1,679 | $258K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,173 | 4,922 | $1.30M |
| 99213 | 3,398 | 2,578 | $10K | |
| 99211 | 16 | 14 | $273.20 | |
| 87804 | 77 | 74 | $235.20 | |
| 96127 | 180 | 162 | $227.26 | |
| 99214 | 1,445 | 835 | $0.00 | |
| 90677 | 12 | 12 | $0.00 | |
| 36415 | 18 | 12 | $0.00 | |
| 99393 | 56 | 40 | $0.00 | |
| 90460 | 719 | 590 | $0.00 | |
| 99392 | 16 | 14 | $0.00 | |
| 99391 | 54 | 50 | $0.00 | |
| 90672 | 40 | 37 | $0.00 | |
| 99212 | 26 | 12 | $0.00 | |
| 99394 | 38 | 34 | $0.00 | |
| 87880 | 149 | 35 | $0.00 | |
| 90633 | 19 | 13 | $0.00 | |
| 90670 | 15 | 12 | $0.00 |