NPI: 1740395003 · SPARTA, IL 62286 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,004 | $82K |
| 2019 | 5,286 | $164K |
| 2020 | 4,050 | $165K |
| 2021 | 3,595 | $167K |
| 2022 | 3,406 | $150K |
| 2023 | 3,760 | $173K |
| 2024 | 3,474 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 14,455 | 11,203 | $1.07M |
| 81002 | 132 | 93 | $898.90 | |
| 99213 | 5,508 | 4,306 | $56.70 | |
| 99214 | 3,274 | 2,829 | $0.00 | |
| 90471 | 167 | 116 | $0.00 | |
| 36415 | 12 | 12 | $0.00 | |
| 90686 | 81 | 72 | $0.00 | |
| 96127 | 620 | 590 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 23 | 20 | $0.00 |
| 3074F | 92 | 81 | $0.00 | |
| 1000F | 65 | 63 | $0.00 | |
| 90651 | 16 | 12 | $0.00 | |
| 90656 | 18 | 16 | $0.00 | |
| 3079F | 17 | 16 | $0.00 | |
| 99395 | 85 | 82 | $0.00 | |
| 99394 | 209 | 181 | $0.00 | |
| 99392 | 90 | 63 | $0.00 | |
| 3725F | 159 | 153 | $0.00 | |
| 90460 | 102 | 43 | $0.00 | |
| 99212 | 103 | 91 | $0.00 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 17 | 17 | $0.00 |
| 87811 | 13 | 13 | $0.00 | |
| 3078F | 63 | 55 | $0.00 | |
| 90472 | 14 | 14 | $0.00 | |
| 90461 | 30 | 12 | $0.00 | |
| 99393 | 195 | 155 | $0.00 | |
| 90670 | 15 | 14 | $0.00 |