NPI: 1811946411 · FLORA, IL 62839 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,690 | $386K |
| 2019 | 19,271 | $554K |
| 2020 | 14,870 | $553K |
| 2021 | 19,637 | $704K |
| 2022 | 25,907 | $934K |
| 2023 | 31,027 | $1.12M |
| 2024 | 32,544 | $1.22M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 75,271 | 57,316 | $5.12M |
| T1040 | Comm bh clinic svc per diem | 3,737 | 2,050 | $233K |
| 99213 | 17,527 | 13,868 | $44K | |
| 99214 | 26,379 | 21,163 | $42K | |
| 99392 | 2,654 | 2,307 | $7K | |
| 99391 | 2,287 | 2,052 | $6K | |
| 99212 | 663 | 515 | $3K | |
| 99393 | 834 | 739 | $3K | |
| 99348 | 323 | 180 | $2K | |
| 99394 | 357 | 289 | $1K | |
| 90837 | 2,237 | 1,426 | $914.44 | |
| 90833 | 9,799 | 8,262 | $541.64 | |
| 87880 | 1,774 | 1,418 | $438.34 | |
| 87426 | 251 | 229 | $423.96 | |
| 90686 | 304 | 230 | $274.98 | |
| 99349 | 2,349 | 1,988 | $95.00 | |
| 81002 | 726 | 530 | $90.86 | |
| 90832 | 2,776 | 1,911 | $0.00 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 536 | 536 | $0.00 |
| 99203 | 121 | 104 | $0.00 | |
| 99347 | 25 | 12 | $0.00 | |
| 99215 | Prolong outpt/office vis | 76 | 75 | $0.00 |
| 90460 | 96 | 60 | $0.00 | |
| 90791 | 85 | 79 | $0.00 | |
| 90836 | 136 | 123 | $0.00 | |
| 99204 | 13 | 13 | $0.00 | |
| 90834 | 1,072 | 807 | $0.00 | |
| 96372 | 74 | 68 | $0.00 | |
| 90792 | 1,058 | 1,026 | $0.00 | |
| 90656 | 44 | 44 | $0.00 | |
| 99309 | 115 | 107 | $0.00 | |
| 99343 | 22 | 16 | $0.00 | |
| 99304 | 27 | 26 | $0.00 | |
| 87635 | 150 | 134 | $0.00 | |
| 88738 | 12 | 12 | $0.00 | |
| 99381 | 14 | 14 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 22 | 17 | $0.00 |