NPI: 1790214930 · PLAINFIELD, IL 60586 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 502 | $11K |
| 2019 | 2,548 | $56K |
| 2020 | 1,547 | $36K |
| 2021 | 3,608 | $94K |
| 2022 | 2,557 | $66K |
| 2023 | 723 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 974 | 808 | $64K | |
| J1050 | Medroxyprogesterone acetate | 1,512 | 1,081 | $63K |
| 99401 | 2,021 | 1,403 | $57K | |
| 99213 | 1,010 | 759 | $41K | |
| 87806 | 996 | 812 | $19K | |
| 81025 | 2,762 | 1,923 | $12K | |
| 96372 | 995 | 652 | $10K | |
| J7307 | Etonogestrel implant system | 13 | 12 | $6K |
| 87210 | 572 | 424 | $3K | |
| 83986 | 547 | 409 | $2K | |
| 11981 | 13 | 12 | $1K | |
| 76817 | 14 | 13 | $1K | |
| A4267 | Male condom | 28 | 24 | $286.70 |
| 85018 | 28 | 28 | $57.67 |