NPI: 1801836341 · SISSONVILLE, WV 25320 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,726 | $452K |
| 2019 | 4,769 | $324K |
| 2020 | 10,862 | $757K |
| 2021 | 14,293 | $683K |
| 2022 | 15,870 | $685K |
| 2023 | 17,171 | $731K |
| 2024 | 12,760 | $781K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 29,408 | 22,992 | $4.10M |
| 99213 | 13,837 | 11,528 | $129K | |
| 99214 | 6,803 | 6,135 | $56K | |
| 90471 | 1,748 | 1,596 | $27K | |
| 99212 | 1,569 | 1,267 | $27K | |
| D9999 | 106 | 91 | $20K | |
| 90686 | 1,084 | 996 | $19K | |
| 90832 | 1,485 | 1,103 | $13K | |
| 90472 | 278 | 178 | $6K | |
| 96127 | 421 | 383 | $5K | |
| 90715 | 90 | 84 | $3K | |
| 99202 | 172 | 162 | $3K | |
| 90632 | 44 | 39 | $2K | |
| D0140 | 44 | 24 | $1K | |
| 87804 | 437 | 188 | $833.05 | |
| 90791 | 28 | 26 | $604.38 | |
| 80305 | 86 | 45 | $237.63 | |
| 0064A | 12 | 12 | $160.00 | |
| 90656 | 55 | 54 | $156.45 | |
| 83036 | 116 | 107 | $64.26 | |
| 87880 | 125 | 114 | $62.48 | |
| 0072A | 47 | 47 | $40.00 | |
| 0071A | 53 | 45 | $40.00 | |
| 93005 | 15 | 12 | $39.70 | |
| 81002 | 26 | 24 | $16.45 | |
| 3074F | 2,807 | 2,590 | $0.00 | |
| 3008F | 4,420 | 4,057 | $0.00 | |
| 1036F | 2,063 | 1,858 | $0.00 | |
| 3079F | 439 | 420 | $0.00 | |
| 3075F | 279 | 272 | $0.00 | |
| G9226 | 3 comp foot exam completed | 18 | 13 | $0.00 |
| 1034F | 334 | 290 | $0.00 | |
| 87428 | 293 | 274 | $0.00 | |
| 87426 | 272 | 254 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 328 | 153 | $0.00 |
| 1035F | 17 | 16 | $0.00 | |
| 3080F | 40 | 39 | $0.00 | |
| 90834 | 30 | 28 | $0.00 | |
| G0008 | Admin influenza virus vac | 89 | 87 | $0.00 |
| 90651 | 12 | 12 | $0.00 | |
| 92551 | 16 | 16 | $0.00 | |
| 99406 | 20 | 20 | $0.00 | |
| 3725F | 1,437 | 1,380 | $0.00 | |
| 1160F | 4,319 | 3,843 | $0.00 | |
| 3077F | 202 | 183 | $0.00 | |
| 3078F | 2,857 | 2,636 | $0.00 | |
| 1159F | 3,995 | 3,557 | $0.00 | |
| 99394 | 46 | 46 | $0.00 | |
| 93010 | 29 | 28 | $0.00 |