NPI: 1720078629 · HARRISBURG, IL 62946 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,614 | $100K |
| 2019 | 6,459 | $105K |
| 2020 | 7,983 | $119K |
| 2021 | 4,759 | $80K |
| 2022 | 3,550 | $57K |
| 2023 | 3,623 | $62K |
| 2024 | 2,881 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70450 | 1,859 | 1,763 | $99K | |
| 77067 | 2,740 | 2,477 | $70K | |
| 74176 | 1,952 | 1,878 | $66K | |
| 77063 | 2,589 | 2,338 | $52K | |
| 71046 | 7,025 | 6,442 | $33K | |
| 74177 | 765 | 732 | $30K | |
| 72148 | 194 | 148 | $21K | |
| 93976 | 876 | 756 | $17K | |
| 73630 | 1,496 | 1,314 | $15K | |
| 76705 | 829 | 792 | $14K | |
| 71045 | 4,289 | 3,794 | $14K | |
| 73610 | 935 | 811 | $12K | |
| 73721 | 86 | 65 | $11K | |
| 73030 | 1,196 | 1,085 | $11K | |
| 73110 | 823 | 683 | $8K | |
| 78452 | 257 | 252 | $8K | |
| 73564 | 667 | 558 | $7K | |
| 73562 | 606 | 496 | $6K | |
| 72110 | 401 | 384 | $6K | |
| 73130 | 661 | 506 | $6K | |
| 76830 | 177 | 159 | $6K | |
| 70553 | 61 | 51 | $5K | |
| 71250 | 240 | 228 | $4K | |
| 76642 | 201 | 172 | $4K | |
| G0279 | Tomosynthesis, mammo | 194 | 169 | $3K |
| 76536 | 115 | 115 | $3K | |
| 70551 | 23 | 14 | $3K | |
| 74018 | 650 | 584 | $3K | |
| 72141 | 33 | 25 | $3K | |
| 78227 | 111 | 108 | $3K | |
| 73502 | 617 | 529 | $3K | |
| 73560 | 298 | 245 | $2K | |
| 93971 | 234 | 224 | $2K | |
| 72100 | 177 | 169 | $2K | |
| 76770 | 56 | 56 | $1K | |
| 76816 | 47 | 43 | $1K | |
| 71260 | 69 | 68 | $1K | |
| 71275 | 14 | 14 | $1K | |
| 76641 | 32 | 25 | $884.62 | |
| 74178 | 15 | 14 | $811.01 | |
| 76856 | 31 | 24 | $609.66 | |
| 76700 | 44 | 41 | $547.38 | |
| 73080 | 49 | 42 | $521.16 | |
| 72125 | 17 | 17 | $310.36 | |
| 72072 | 32 | 28 | $306.11 | |
| 77080 | 31 | 30 | $209.89 | |
| 73590 | 16 | 12 | $106.69 | |
| 73140 | 16 | 13 | $94.63 | |
| G0202 | Scr mammo bi incl cad | 23 | 23 | $0.00 |