NPI: 1760818983 · OCONOMOWOC, WI 53066 · 363A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 623 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 206 | 177 | $9K | |
| 99203 | 45 | 45 | $3K | |
| 87804 | 130 | 59 | $1K | |
| 99214 | 16 | 14 | $983.36 | |
| 96372 | 47 | 40 | $668.84 | |
| J0696 | Ceftriaxone sodium injection | 29 | 23 | $539.26 |
| 87880 | 51 | 44 | $512.78 | |
| 90460 | 16 | 12 | $223.26 | |
| 81025 | 19 | 17 | $82.59 | |
| 81003 | 35 | 33 | $66.05 | |
| J1100 | Dexamethasone sodium phos | 29 | 24 | $30.52 |