NPI: 1760497812 · KENOSHA, WI 53144 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 188 | $4K |
| 2019 | 149 | $4K |
| 2020 | 221 | $4K |
| 2021 | 938 | $14K |
| 2022 | 337 | $7K |
| 2023 | 146 | $7K |
| 2024 | 46 | $660.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 378 | 278 | $9K | |
| 90674 | 196 | 170 | $7K | |
| 91322 | 58 | 33 | $5K | |
| 0012A | 114 | 112 | $4K | |
| 0011A | 120 | 120 | $4K | |
| A4627 | Spacer bag/reservoir | 304 | 285 | $3K |
| 0064A | 76 | 76 | $3K | |
| 0002A | 83 | 71 | $3K | |
| 0001A | 94 | 75 | $2K | |
| 0134A | 27 | 27 | $954.00 | |
| 91300 | 186 | 144 | $0.00 | |
| 91313 | 27 | 27 | $0.00 | |
| 91301 | 289 | 283 | $0.00 | |
| 91306 | 73 | 73 | $0.00 |