NPI: 1750785986 · MATTOON, IL 61938 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,566 | $728K |
| 2019 | 70,163 | $1.94M |
| 2020 | 26,331 | $1.04M |
| 2021 | 21,757 | $881K |
| 2022 | 22,406 | $932K |
| 2023 | 22,130 | $943K |
| 2024 | 25,052 | $1.05M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 103,733 | 63,082 | $7.45M |
| T1040 | Comm bh clinic svc per diem | 756 | 559 | $48K |
| G2012 | Brief check in by md/qhp | 1,180 | 936 | $6K |
| S5190 | Wellness assessment by nonph | 388 | 323 | $3K |
| J1050 | Medroxyprogesterone acetate | 13 | 13 | $856.89 |
| 99213 | 27,671 | 17,990 | $375.14 | |
| 99214 | 29,261 | 18,263 | $291.88 | |
| 90832 | 1,410 | 536 | $176.88 | |
| 96372 | 735 | 543 | $137.34 | |
| 90715 | 1,240 | 795 | $33.10 | |
| 96110 | 2,714 | 1,794 | $25.98 | |
| 90670 | 765 | 274 | $12.80 | |
| 90723 | 2,221 | 1,627 | $12.80 | |
| G0008 | Admin influenza virus vac | 781 | 270 | $6.40 |
| 99203 | 737 | 500 | $0.00 | |
| 99392 | 4,565 | 3,230 | $0.00 | |
| 90633 | 1,614 | 1,121 | $0.00 | |
| 99391 | 4,076 | 2,874 | $0.00 | |
| 99204 | 487 | 471 | $0.00 | |
| 99212 | 474 | 382 | $0.00 | |
| 90791 | 298 | 242 | $0.00 | |
| 90734 | 640 | 441 | $0.00 | |
| 99215 | Prolong outpt/office vis | 2,583 | 1,855 | $0.00 |
| 99395 | 577 | 396 | $0.00 | |
| 90837 | 4,417 | 2,353 | $0.00 | |
| 99394 | 1,205 | 936 | $0.00 | |
| 99393 | 2,142 | 1,554 | $0.00 | |
| 99173 | 824 | 660 | $0.00 | |
| 90710 | 373 | 278 | $0.00 | |
| G2211 | Complex e/m visit add on | 1,087 | 1,026 | $0.00 |
| 90700 | 122 | 84 | $0.00 | |
| 90681 | 914 | 684 | $0.00 | |
| 0502F | 179 | 112 | $0.00 | |
| 99396 | 92 | 56 | $0.00 | |
| 99242 | 345 | 243 | $0.00 | |
| 90671 | 94 | 93 | $0.00 | |
| 90707 | 81 | 77 | $0.00 | |
| 99382 | 13 | 12 | $0.00 | |
| 99245 | 14 | 14 | $0.00 | |
| 90647 | 2,294 | 1,650 | $0.00 | |
| 90716 | 106 | 74 | $0.00 | |
| 92551 | 780 | 634 | $0.00 | |
| 90834 | 609 | 377 | $0.00 | |
| 90471 | 598 | 327 | $0.00 | |
| 99406 | 1,403 | 573 | $0.00 | |
| 90651 | 748 | 539 | $0.00 | |
| 99243 | 73 | 70 | $0.00 | |
| 90686 | 464 | 218 | $0.00 | |
| 90677 | 108 | 94 | $0.00 | |
| 90696 | 333 | 252 | $0.00 | |
| 99383 | 86 | 83 | $0.00 | |
| 99381 | 170 | 120 | $0.00 | |
| 99384 | 12 | 12 | $0.00 | |
| 90619 | 106 | 106 | $0.00 | |
| 90656 | 204 | 183 | $0.00 | |
| G0447 | Behavior counsel obesity 15m | 667 | 176 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 95 | 18 | $0.00 |
| 90688 | 585 | 145 | $0.00 | |
| 90732 | 88 | 16 | $0.00 | |
| 99202 | 29 | 29 | $0.00 | |
| Q3014 | Telehealth facility fee | 26 | 14 | $0.00 |