NPI: 1801895412 · PETOSKEY, MI 49770 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27,220 | $397K |
| 2019 | 27,194 | $367K |
| 2020 | 24,259 | $337K |
| 2021 | 25,272 | $354K |
| 2022 | 3,727 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 5,761 | 5,492 | $285K | |
| 70450 | 4,807 | 4,431 | $110K | |
| 74176 | 1,901 | 1,848 | $88K | |
| 77067 | 3,555 | 3,554 | $77K | |
| 71275 | 1,533 | 1,489 | $73K | |
| 70553 | 1,185 | 1,178 | $72K | |
| 71260 | 1,947 | 1,917 | $62K | |
| 71046 | 9,885 | 9,200 | $60K | |
| 72148 | 1,310 | 1,305 | $52K | |
| 71045 | 8,639 | 5,922 | $42K | |
| 72125 | 1,375 | 1,344 | $37K | |
| 76705 | 2,232 | 2,174 | $37K | |
| 76830 | 1,784 | 1,757 | $34K | |
| 73721 | 918 | 897 | $33K | |
| 72141 | 628 | 625 | $25K | |
| 76805 | 812 | 809 | $24K | |
| 76856 | 1,315 | 1,308 | $24K | |
| 70551 | 586 | 581 | $23K | |
| 78452 | 545 | 542 | $23K | |
| 76642 | 1,018 | 960 | $20K | |
| 76816 | 687 | 658 | $17K | |
| 76536 | 1,077 | 1,067 | $17K | |
| 76700 | 621 | 620 | $14K | |
| 73221 | 350 | 342 | $13K | |
| 73630 | 2,692 | 2,511 | $13K | |
| 71250 | 430 | 424 | $12K | |
| 72110 | 1,518 | 1,506 | $12K | |
| 73564 | 1,982 | 1,850 | $12K | |
| 74018 | 2,399 | 2,111 | $12K | |
| 77065 | Tomosynthesis, mammo | 533 | 513 | $12K |
| 93975 | 357 | 346 | $11K | |
| 73610 | 2,204 | 2,081 | $11K | |
| 73130 | 2,213 | 2,033 | $11K | |
| 73030 | 2,019 | 1,878 | $10K | |
| 70486 | 415 | 410 | $10K | |
| 70491 | 231 | 227 | $9K | |
| 77063 | 487 | 487 | $8K | |
| 74019 | 1,209 | 1,119 | $8K | |
| 73110 | 1,557 | 1,470 | $7K | |
| 70496 | 161 | 155 | $7K | |
| 73502 | 1,086 | 1,054 | $7K | |
| 72131 | 253 | 250 | $7K | |
| 70498 | 129 | 124 | $6K | |
| 77066 | Tomosynthesis, mammo | 213 | 213 | $6K |
| 74022 | 585 | 578 | $5K | |
| 78815 | 69 | 69 | $4K | |
| 93971 | 330 | 326 | $4K | |
| 72158 | 59 | 56 | $4K | |
| 76770 | 181 | 179 | $4K | |
| 73080 | 706 | 683 | $3K | |
| 76801 | 107 | 102 | $3K | |
| 73140 | 751 | 712 | $3K | |
| 76775 | 171 | 167 | $3K | |
| 71101 | 338 | 335 | $2K | |
| 73560 | 504 | 439 | $2K | |
| 76870 | 134 | 133 | $2K | |
| 76817 | 102 | 94 | $2K | |
| 72040 | 320 | 317 | $2K | |
| 73590 | 446 | 423 | $2K | |
| 72072 | 241 | 239 | $1K | |
| 78227 | 54 | 54 | $1K | |
| 77080 | 232 | 231 | $1K | |
| 72100 | 211 | 209 | $1K | |
| 73090 | 265 | 251 | $1K | |
| 72050 | 98 | 98 | $847.20 | |
| 72170 | 177 | 173 | $820.92 | |
| G0279 | Tomosynthesis, mammo | 39 | 39 | $630.64 |
| 71271 | 17 | 17 | $511.87 | |
| G0297 | Ldct for lung ca screen | 12 | 12 | $344.64 |
| 73700 | 12 | 12 | $311.63 | |
| 73562 | 48 | 38 | $246.21 | |
| 77002 | 12 | 12 | $174.35 | |
| 76882 | 12 | 12 | $136.70 | |
| 73552 | 12 | 12 | $61.80 | |
| 73060 | 13 | 12 | $57.10 | |
| G9637 | Doc >1 dose reduc tech | 17,555 | 13,406 | $0.03 |
| G9500 | Rad expos ind/exp tm doc | 927 | 870 | $0.00 |
| 3342F | 486 | 486 | $0.00 | |
| 3340F | 129 | 129 | $0.00 | |
| G9638 | No doc >1 dose reduc tech | 186 | 168 | $0.00 |
| 7025F | 3,393 | 3,387 | $0.00 | |
| 3341F | 1,853 | 1,849 | $0.00 | |
| 3100F | 326 | 316 | $0.00 |