NPI: 1699792143 · FAIRVIEW HEIGHTS, IL 62208 · 207RG0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,199 | $134K |
| 2019 | 1,907 | $189K |
| 2020 | 1,732 | $150K |
| 2021 | 2,305 | $197K |
| 2022 | 2,235 | $196K |
| 2023 | 1,705 | $180K |
| 2024 | 744 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 43239 | 1,533 | 1,467 | $297K | |
| 45378 | 1,447 | 1,308 | $279K | |
| 99214 | 4,389 | 4,119 | $248K | |
| 99204 | 1,772 | 1,707 | $121K | |
| 87811 | 998 | 846 | $41K | |
| 45380 | 205 | 204 | $35K | |
| 99244 | 208 | 199 | $31K | |
| U0004 | Cov-19 test non-cdc hgh thru | 337 | 275 | $27K |
| 99213 | 527 | 509 | $20K | |
| 99243 | 111 | 111 | $10K | |
| 43235 | 27 | 26 | $6K | |
| 74177 | 30 | 30 | $5K | |
| 99203 | 64 | 64 | $3K | |
| G2023 | Specimen collect covid-19 | 99 | 79 | $2K |
| 45330 | 25 | 25 | $2K | |
| 46221 | 15 | 13 | $2K | |
| 76981 | 28 | 28 | $2K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 12 | 12 | $13.90 |