NPI: 1689932626 · MORAINE, OH 45439 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,859 | $30K |
| 2019 | 777 | $13K |
| 2020 | 839 | $19K |
| 2022 | 20 | $524.72 |
| 2023 | 108 | $2K |
| 2024 | 465 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0006 | Alcohol and/or drug services | 1,940 | 687 | $33K |
| H0038 | Self-help/peer svc per 15min | 647 | 231 | $22K |
| H0005 | Alcohol and/or drug services | 566 | 205 | $14K |
| T1002 | Rn services up to 15 minutes | 183 | 164 | $6K |
| H0048 | Spec coll non-blood:a/d test | 651 | 403 | $5K |
| T1003 | Lpn/lvn services up to 15min | 81 | 68 | $1K |