NPI: 1811317977 · SULLIVAN, IN 47882 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,660 | $196K |
| 2019 | 8,627 | $346K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 10,059 | 8,057 | $363K | |
| 99214 | 1,790 | 1,555 | $82K | |
| T1015 | Clinic service | 830 | 608 | $42K |
| 90471 | 1,609 | 1,366 | $12K | |
| 99394 | 130 | 115 | $11K | |
| 99393 | 146 | 131 | $11K | |
| 99392 | 73 | 67 | $6K | |
| 90472 | 389 | 329 | $5K | |
| 96372 | 506 | 388 | $2K | |
| 99307 | 147 | 131 | $2K | |
| J0702 | Betamethasone acet&sod phosp | 143 | 122 | $2K |
| 99391 | 18 | 16 | $1K | |
| 90686 | 343 | 307 | $780.56 | |
| 99212 | 23 | 19 | $640.02 | |
| 90649 | 13 | 12 | $512.21 | |
| 99308 | 20 | 14 | $428.39 | |
| 90633 | 191 | 153 | $147.18 | |
| 90734 | 59 | 46 | $105.58 | |
| 90670 | 14 | 13 | $0.05 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 767 | 394 | $0.00 |
| 99395 | 17 | 17 | $0.00 |