NPI: 1821035569 · WEST PLAINS, MO 65775 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 948 | $55K |
| 2019 | 834 | $47K |
| 2020 | 832 | $20K |
| 2021 | 1,135 | $35K |
| 2022 | 876 | $13K |
| 2023 | 1,780 | $46K |
| 2024 | 1,102 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J2778 | Ranibizumab injection | 265 | 238 | $72K |
| 66984 | 439 | 309 | $55K | |
| 67028 | 1,635 | 1,250 | $48K | |
| 92134 | 2,563 | 2,029 | $20K | |
| 92012 | 871 | 732 | $16K | |
| 99213 | 665 | 566 | $14K | |
| 99204 | 118 | 101 | $5K | |
| 92004 | 107 | 98 | $3K | |
| 92014 | 101 | 86 | $2K | |
| 92136 | 219 | 103 | $2K | |
| 92133 | 250 | 199 | $2K | |
| 99214 | 14 | 14 | $921.19 | |
| 99212 | 60 | 58 | $747.05 | |
| 4177F | 40 | 37 | $0.00 | |
| 5010F | 46 | 42 | $0.00 | |
| 2021F | 32 | 30 | $0.00 | |
| 2027F | 66 | 61 | $0.00 | |
| 2022F | 16 | 14 | $0.00 |