NPI: 1790021376 · FORT WAYNE, IN 46815 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,384 | $59K |
| 2019 | 3,126 | $113K |
| 2020 | 2,704 | $142K |
| 2021 | 4,391 | $235K |
| 2022 | 7,617 | $293K |
| 2023 | 3,951 | $243K |
| 2024 | 2,675 | $184K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 12,810 | 8,012 | $867K | |
| 99215 | Prolong outpt/office vis | 1,190 | 806 | $107K |
| 99213 | 2,290 | 1,583 | $89K | |
| 87426 | 2,567 | 1,773 | $62K | |
| 99204 | 571 | 453 | $59K | |
| 99396 | 246 | 171 | $18K | |
| 87428 | 357 | 332 | $11K | |
| 87804 | 807 | 335 | $10K | |
| 96372 | 902 | 607 | $9K | |
| 99395 | 77 | 71 | $7K | |
| 36415 | 1,779 | 1,251 | $7K | |
| 87880 | 592 | 470 | $7K | |
| 90674 | 414 | 285 | $6K | |
| 87811 | 167 | 118 | $3K | |
| 80305 | 348 | 224 | $3K | |
| 90471 | 341 | 237 | $2K | |
| 81002 | 399 | 259 | $796.58 | |
| 81025 | 42 | 29 | $233.82 | |
| 90686 | 20 | 17 | $212.02 | |
| J2930 | Methylprednisolone injection | 45 | 27 | $154.83 |
| J0696 | Ceftriaxone sodium injection | 36 | 29 | $65.49 |
| 99072 | 848 | 586 | $0.00 |