NPI: 1720557614 · SIOUX CITY, IA 51101 · 207ZP0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,753 | $59K |
| 2020 | 2,597 | $67K |
| 2021 | 3,205 | $116K |
| 2022 | 2,747 | $86K |
| 2023 | 2,175 | $63K |
| 2024 | 537 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 88305 | 5,389 | 4,627 | $262K | |
| 87635 | 1,263 | 1,147 | $60K | |
| 88342 | 1,251 | 1,067 | $28K | |
| 88304 | 2,207 | 1,917 | $22K | |
| 88307 | 358 | 278 | $17K | |
| 88311 | 942 | 821 | $8K | |
| 88300 | 1,019 | 865 | $6K | |
| 85025 | 508 | 342 | $4K | |
| 80053 | 300 | 194 | $3K | |
| 80048 | 199 | 131 | $948.79 | |
| 81001 | 105 | 94 | $292.57 | |
| 85027 | 59 | 39 | $228.76 | |
| 87186 | 12 | 12 | $144.90 | |
| 87077 | 13 | 12 | $142.28 | |
| 85610 | 56 | 46 | $99.40 | |
| 80307 | 37 | 34 | $20.00 | |
| 84702 | 14 | 12 | $0.00 | |
| 82570 | 38 | 34 | $0.00 | |
| 86900 | 13 | 12 | $0.00 | |
| 81002 | 14 | 13 | $0.00 | |
| 81003 | 16 | 16 | $0.00 | |
| 84703 | 12 | 12 | $0.00 | |
| 84484 | 60 | 47 | $0.00 | |
| 83605 | 37 | 29 | $0.00 | |
| U0002 | Covid-19 lab test non-cdc | 27 | 27 | $0.00 |
| 84443 | 12 | 12 | $0.00 | |
| 86140 | 15 | 12 | $0.00 | |
| 86901 | 13 | 12 | $0.00 | |
| 83735 | 25 | 22 | $0.00 |