NPI: 1689689739 · RACINE, WI 53406 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 48 | $1K |
| 2019 | 44 | $1K |
| 2020 | 136 | $2K |
| 2021 | 2,253 | $39K |
| 2022 | 520 | $7K |
| 2023 | 275 | $6K |
| 2024 | 43 | $595.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 470 | 451 | $16K | |
| 0002A | 431 | 413 | $16K | |
| 90686 | 284 | 230 | $7K | |
| 90674 | 110 | 94 | $4K | |
| 0071A | 85 | 85 | $3K | |
| 91320 | 27 | 21 | $2K | |
| 0072A | 60 | 60 | $2K | |
| 0004A | 59 | 59 | $2K | |
| A4627 | Spacer bag/reservoir | 334 | 254 | $2K |
| 0124A | 35 | 35 | $1K | |
| 0051A | 25 | 25 | $915.84 | |
| 0054A | 20 | 20 | $763.20 | |
| 0052A | 14 | 14 | $419.76 | |
| 91300 | 1,007 | 912 | $0.00 | |
| 91312 | 35 | 35 | $0.00 | |
| 91305 | 157 | 154 | $0.00 | |
| 91307 | 166 | 153 | $0.00 |