NPI: 1750497194 · SPARTA, IL 62286 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,449 | $91K |
| 2019 | 7,005 | $200K |
| 2020 | 5,833 | $199K |
| 2021 | 5,187 | $208K |
| 2022 | 5,018 | $188K |
| 2023 | 5,992 | $243K |
| 2024 | 5,528 | $232K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 20,407 | 15,688 | $1.36M |
| 99213 | 6,067 | 4,855 | $461.67 | |
| G2012 | Brief check in by md/qhp | 65 | 27 | $237.42 |
| 99212 | 404 | 342 | $61.00 | |
| 99202 | 139 | 92 | $32.00 | |
| 96110 | 111 | 106 | $0.00 | |
| 3074F | 95 | 81 | $0.00 | |
| 99214 | 3,228 | 2,790 | $0.00 | |
| 90677 | 153 | 138 | $0.00 | |
| 90723 | 126 | 103 | $0.00 | |
| 96127 | 468 | 434 | $0.00 | |
| 90656 | 40 | 38 | $0.00 | |
| 90686 | 492 | 403 | $0.00 | |
| 90471 | 51 | 37 | $0.00 | |
| 90680 | 37 | 25 | $0.00 | |
| 90697 | 31 | 25 | $0.00 | |
| 99393 | 296 | 270 | $0.00 | |
| 90460 | 848 | 716 | $0.00 | |
| 90648 | 405 | 332 | $0.00 | |
| 90670 | 311 | 265 | $0.00 | |
| 99391 | 1,108 | 924 | $0.00 | |
| 99392 | 904 | 802 | $0.00 | |
| 99394 | 43 | 39 | $0.00 | |
| 99203 | 330 | 258 | $0.00 | |
| 90461 | 377 | 339 | $0.00 | |
| 3725F | 31 | 30 | $0.00 | |
| 99307 | 156 | 141 | $0.00 | |
| 99204 | 12 | 12 | $0.00 | |
| 99215 | Prolong outpt/office vis | 74 | 69 | $0.00 |
| 3078F | 90 | 77 | $0.00 | |
| 87811 | 58 | 55 | $0.00 | |
| G2023 | Specimen collect covid-19 | 13 | 13 | $0.00 |
| 87880 | 30 | 29 | $0.00 | |
| 90633 | 12 | 12 | $0.00 |