NPI: 1770586976 · OTTAWA, KS 66067 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,175 | $42K |
| 2019 | 3,816 | $40K |
| 2020 | 2,665 | $27K |
| 2021 | 2,184 | $24K |
| 2022 | 2,372 | $27K |
| 2023 | 1,637 | $20K |
| 2024 | 863 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 5,389 | 5,281 | $99K | |
| 90472 | 3,286 | 3,248 | $77K | |
| 90682 | 431 | 423 | $9K | |
| 90474 | 183 | 182 | $2K | |
| 90715 | 403 | 397 | $2K | |
| 90686 | 1,198 | 1,185 | $938.00 | |
| 90673 | 31 | 31 | $770.00 | |
| 0134A | 42 | 42 | $240.00 | |
| 90651 | 451 | 436 | $204.87 | |
| 90662 | 130 | 130 | $198.98 | |
| 90707 | 79 | 78 | $141.84 | |
| 90688 | 37 | 37 | $45.00 | |
| 0064A | 27 | 27 | $35.00 | |
| 90744 | 579 | 574 | $7.00 | |
| 90633 | 642 | 639 | $3.00 | |
| 90698 | 1,339 | 1,332 | $0.10 | |
| 90681 | 183 | 182 | $0.06 | |
| G0008 | Admin influenza virus vac | 448 | 446 | $0.05 |
| 90670 | 1,476 | 1,465 | $0.02 | |
| 90716 | 83 | 83 | $0.00 | |
| 90620 | 146 | 142 | $0.00 | |
| 90619 | 290 | 287 | $0.00 | |
| 90697 | 84 | 83 | $0.00 | |
| 90696 | 111 | 110 | $0.00 | |
| 90677 | 47 | 45 | $0.00 | |
| 90656 | 16 | 15 | $0.00 | |
| 90710 | 236 | 232 | $0.00 | |
| 90734 | 345 | 337 | $0.00 |