NPI: 1689779258 · GREAT BEND, KS 67530 · 163WC1500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,779 | $85K |
| 2019 | 7,172 | $86K |
| 2020 | 4,546 | $56K |
| 2021 | 5,343 | $70K |
| 2022 | 4,532 | $62K |
| 2023 | 4,319 | $61K |
| 2024 | 3,008 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | 5,536 | 5,430 | $209K | |
| 90471 | 8,420 | 8,252 | $162K | |
| 99211 | 2,201 | 1,781 | $32K | |
| 90474 | 1,329 | 1,310 | $26K | |
| 96160 | 1,152 | 1,091 | $14K | |
| H1002 | Carecoordination prenatal | 181 | 179 | $4K |
| 90688 | 1,350 | 1,299 | $4K | |
| T1001 | Nursing assessment/evaluatn | 113 | 111 | $3K |
| 90651 | 702 | 694 | $3K | |
| H1000 | Prenatal care atrisk assessm | 81 | 79 | $1K |
| 90716 | 394 | 387 | $749.17 | |
| 90715 | 574 | 569 | $746.81 | |
| 90473 | 33 | 33 | $626.69 | |
| 90670 | 2,265 | 2,220 | $460.28 | |
| 90682 | 55 | 54 | $376.60 | |
| 90656 | 142 | 142 | $339.54 | |
| 90734 | 539 | 534 | $334.00 | |
| S9470 | Nutritional counseling, diet | 27 | 25 | $280.00 |
| 90707 | 363 | 355 | $261.37 | |
| 86580 | 32 | 28 | $179.10 | |
| 90677 | 241 | 238 | $79.00 | |
| 90662 | 14 | 14 | $45.00 | |
| 90686 | 947 | 944 | $16.00 | |
| 90744 | 1,005 | 984 | $6.00 | |
| 90648 | 114 | 112 | $1.00 | |
| G0008 | Admin influenza virus vac | 349 | 349 | $0.15 |
| 90698 | 1,469 | 1,439 | $0.06 | |
| 90680 | 1,408 | 1,389 | $0.05 | |
| 90619 | 463 | 460 | $0.02 | |
| 90696 | 393 | 392 | $0.00 | |
| 90697 | 635 | 631 | $0.00 | |
| H0025 | Alcohol and/or drug preventi | 57 | 52 | $0.00 |
| 90710 | 463 | 460 | $0.00 | |
| 90700 | 241 | 240 | $0.00 | |
| 90633 | 1,528 | 1,509 | $0.00 | |
| 90621 | 153 | 152 | $0.00 | |
| 90671 | 306 | 306 | $0.00 | |
| 90685 | 362 | 354 | $0.00 | |
| 90687 | 29 | 28 | $0.00 | |
| 90672 | 33 | 33 | $0.00 |