NPI: 1770637969 · JACKSON, KY 41339 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,015 | $21K |
| 2019 | 688 | $13K |
| 2020 | 69 | $984.71 |
| 2021 | 1,088 | $19K |
| 2022 | 50 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 973 | 812 | $15K | |
| 90460 | 292 | 291 | $11K | |
| 0012A | 443 | 265 | $8K | |
| 0011A | 448 | 255 | $6K | |
| 90632 | 60 | 60 | $4K | |
| 90471 | 102 | 102 | $2K | |
| 0064A | 70 | 46 | $2K | |
| 90461 | 28 | 28 | $2K | |
| 0001A | 38 | 38 | $1K | |
| 0031A | 73 | 40 | $1K | |
| 0002A | 32 | 32 | $1K | |
| 90688 | 152 | 149 | $1K | |
| 90651 | 40 | 40 | $852.50 | |
| 90633 | 125 | 125 | $157.10 | |
| G0008 | Admin influenza virus vac | 34 | 33 | $0.00 |