NPI: 1710992870 · OSHKOSH, WI 54902 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $369.50 |
| 2021 | 2,945 | $49K |
| 2022 | 645 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 615 | 600 | $22K | |
| 0002A | 564 | 534 | $20K | |
| 0004A | 113 | 113 | $4K | |
| 0071A | 102 | 102 | $4K | |
| 0072A | 80 | 80 | $3K | |
| 0124A | 74 | 74 | $3K | |
| 0054A | 44 | 44 | $2K | |
| 0012A | 59 | 57 | $1K | |
| 90686 | 29 | 29 | $904.26 | |
| 0011A | 73 | 63 | $796.18 | |
| 0052A | 13 | 13 | $496.08 | |
| 91300 | 1,314 | 1,173 | $0.00 | |
| 91312 | 74 | 74 | $0.00 | |
| 91301 | 141 | 128 | $0.00 | |
| 91305 | 108 | 108 | $0.00 | |
| 91307 | 199 | 185 | $0.00 |