NPI: 1689970527 · SANDUSKY, OH 44870 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,118 | $474K |
| 2019 | 16,586 | $505K |
| 2020 | 26,887 | $741K |
| 2021 | 36,598 | $1.31M |
| 2022 | 33,390 | $1.18M |
| 2023 | 51,963 | $1.70M |
| 2024 | 38,568 | $1.01M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 100,727 | 72,258 | $6.19M |
| 99214 | 21,560 | 14,996 | $305K | |
| 99213 | 39,041 | 30,304 | $147K | |
| 90834 | 7,285 | 4,172 | $91K | |
| 90832 | 3,472 | 1,997 | $34K | |
| 90837 | 572 | 309 | $21K | |
| 90791 | 850 | 600 | $18K | |
| D0150 | 4,507 | 3,533 | $13K | |
| D0330 | 2,382 | 1,639 | $11K | |
| D2391 | 1,581 | 952 | $11K | |
| D7140 | 1,176 | 630 | $10K | |
| D1110 | 3,233 | 2,289 | $10K | |
| 90792 | 1,035 | 853 | $8K | |
| D2392 | 980 | 665 | $6K | |
| D0210 | 1,421 | 1,197 | $6K | |
| 97803 | 290 | 186 | $5K | |
| 99441 | 4,927 | 3,554 | $5K | |
| 90847 | 131 | 77 | $5K | |
| D0120 | 1,483 | 1,009 | $4K | |
| D0274 | 2,242 | 1,588 | $3K | |
| D1120 | 1,608 | 1,101 | $3K | |
| D0140 | 796 | 627 | $3K | |
| 99212 | 1,269 | 783 | $2K | |
| D1206 | 528 | 348 | $2K | |
| T2003 | N-et; encounter/trip | 1,574 | 1,009 | $1K |
| 99442 | 115 | 73 | $837.87 | |
| 97802 | 21 | 12 | $751.44 | |
| D1351 | 883 | 135 | $693.00 | |
| 99204 | 150 | 126 | $620.89 | |
| 96372 | 191 | 129 | $465.12 | |
| 83036 | 725 | 583 | $383.15 | |
| D2330 | 120 | 78 | $376.39 | |
| D0220 | 288 | 191 | $351.64 | |
| 90471 | 393 | 347 | $103.60 | |
| G0467 | Fqhc visit, estab pt | 358 | 273 | $52.48 |
| D0272 | 321 | 309 | $30.00 | |
| D0230 | 68 | 13 | $25.50 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 19 | 12 | $9.93 |
| 99203 | 325 | 269 | $4.66 | |
| 3077F | 373 | 267 | $0.06 | |
| 3079F | 1,380 | 1,002 | $0.04 | |
| 3074F | 2,687 | 1,960 | $0.03 | |
| 3078F | 2,146 | 1,562 | $0.03 | |
| 3075F | 287 | 192 | $0.01 | |
| 90688 | 174 | 144 | $0.00 | |
| 3080F | 114 | 92 | $0.00 | |
| 90686 | 54 | 42 | $0.00 | |
| D0603 | 109 | 84 | $0.00 | |
| Q3014 | Telehealth facility fee | 366 | 269 | $0.00 |
| 99406 | 25 | 24 | $0.00 | |
| 98925 | 12 | 12 | $0.00 | |
| D2331 | 33 | 27 | $0.00 | |
| 0064A | 14 | 13 | $0.00 | |
| 87426 | 18 | 13 | $0.00 | |
| 91306 | 14 | 13 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 33 | 15 | $0.00 |
| D0601 | 14 | 13 | $0.00 | |
| 1160F | 5,638 | 4,068 | $0.00 | |
| 99393 | 57 | 55 | $0.00 | |
| 81025 | 57 | 49 | $0.00 | |
| 90460 | 213 | 189 | $0.00 | |
| 99211 | 90 | 82 | $0.00 | |
| 90658 | 39 | 31 | $0.00 | |
| 99394 | 58 | 51 | $0.00 | |
| 81003 | 145 | 125 | $0.00 | |
| 99392 | 74 | 65 | $0.00 | |
| 90649 | 13 | 12 | $0.00 | |
| 99391 | 40 | 40 | $0.00 | |
| D7210 | 18 | 14 | $0.00 | |
| 90472 | 125 | 102 | $0.00 | |
| 90734 | 17 | 16 | $0.00 | |
| 90715 | 13 | 12 | $0.00 | |
| 90700 | 13 | 12 | $0.00 |