NPI: 1720093719 · BELOIT, WI 53511 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20 | $663.00 |
| 2019 | 52 | $2K |
| 2020 | 40 | $524.10 |
| 2021 | 2,017 | $35K |
| 2022 | 743 | $12K |
| 2023 | 132 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 486 | 465 | $17K | |
| 0002A | 426 | 401 | $15K | |
| 91320 | 48 | 39 | $4K | |
| 90674 | 106 | 106 | $4K | |
| 90686 | 150 | 130 | $4K | |
| 0072A | 63 | 63 | $2K | |
| 0071A | 62 | 62 | $2K | |
| 0004A | 50 | 50 | $2K | |
| 0054A | 37 | 37 | $1K | |
| 0003A | 36 | 36 | $1K | |
| 0052A | 30 | 30 | $1K | |
| 0124A | 34 | 34 | $1K | |
| 0051A | 24 | 24 | $801.36 | |
| A4627 | Spacer bag/reservoir | 36 | 25 | $173.25 |
| 91307 | 151 | 141 | $0.00 | |
| 91305 | 171 | 168 | $0.00 | |
| 91300 | 1,060 | 948 | $0.00 | |
| 91312 | 34 | 34 | $0.00 |