NPI: 1710961529 · GREEN BAY, WI 54313 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,208 | $23K |
| 2021 | 415 | $7K |
| 2022 | 474 | $6K |
| 2023 | 60 | $600.42 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87635 | 207 | 200 | $9K | |
| 80053 | 456 | 446 | $4K | |
| 80061 | 333 | 330 | $4K | |
| 87426 | 107 | 100 | $3K | |
| 87811 | 90 | 85 | $3K | |
| 87880 | 157 | 147 | $2K | |
| 0002A | 52 | 49 | $2K | |
| 85025 | 216 | 208 | $2K | |
| 83036 | 164 | 163 | $1K | |
| 80050 | 25 | 25 | $1K | |
| 0240U | 20 | 19 | $646.38 | |
| 81001 | 192 | 187 | $579.45 | |
| 84443 | 37 | 37 | $579.05 | |
| 0001A | 26 | 25 | $567.19 | |
| 0031A | 17 | 16 | $512.44 | |
| 0241U | 13 | 13 | $432.00 | |
| 71046 | 31 | 31 | $405.81 | |
| 80048 | 47 | 43 | $364.28 | |
| 81025 | 31 | 30 | $267.69 | |
| 87804 | 18 | 14 | $213.14 | |
| 90686 | 12 | 12 | $145.31 | |
| 36415 | 855 | 797 | $108.07 | |
| 82043 | 12 | 12 | $58.44 | |
| 82570 | 12 | 12 | $52.37 | |
| 91307 | 13 | 12 | $0.00 | |
| 91300 | 14 | 14 | $0.00 |