NPI: 1821413667 · BLOOMFIELD, IA 52537 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,504 | $932K |
| 2019 | 9,821 | $1.11M |
| 2020 | 8,496 | $1.05M |
| 2021 | 9,937 | $1.23M |
| 2022 | 9,879 | $1.23M |
| 2023 | 8,451 | $1.14M |
| 2024 | 4,956 | $731K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 26,428 | 21,707 | $7.41M |
| 99214 | 6,267 | 5,709 | $8K | |
| 99310 | Prolong nursin fac eval 15m | 14 | 12 | $2K |
| 99309 | 43 | 38 | $2K | |
| 99213 | 13,895 | 12,017 | $1K | |
| 99392 | 893 | 835 | $165.47 | |
| 90460 | 4,465 | 2,203 | $133.00 | |
| 90461 | 1,433 | 1,179 | $129.92 | |
| 99212 | 328 | 316 | $32.61 | |
| 96372 | 727 | 525 | $3.92 | |
| 90670 | 486 | 467 | $0.00 | |
| 99393 | 288 | 274 | $0.00 | |
| 99396 | 288 | 281 | $0.00 | |
| 99203 | 43 | 42 | $0.00 | |
| 99391 | 884 | 762 | $0.00 | |
| 90734 | 104 | 104 | $0.00 | |
| 90473 | 16 | 14 | $0.00 | |
| 99394 | 357 | 339 | $0.00 | |
| 90648 | 487 | 467 | $0.00 | |
| 90633 | 208 | 191 | $0.00 | |
| 99211 | 14 | 14 | $0.00 | |
| 99215 | Prolong outpt/office vis | 27 | 26 | $0.00 |
| 90715 | 40 | 40 | $0.00 | |
| G0444 | Depression screen annual | 136 | 133 | $0.00 |
| 99395 | 12 | 12 | $0.00 | |
| 90723 | 236 | 223 | $0.00 | |
| 90686 | 308 | 298 | $0.00 | |
| 92567 | 38 | 35 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 144 | 104 | $0.00 |
| 90680 | 182 | 175 | $0.00 | |
| 90634 | 64 | 64 | $0.00 | |
| 90651 | 82 | 79 | $0.00 | |
| 90471 | 66 | 63 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 15 | 13 | $0.00 |
| 90619 | 26 | 25 | $0.00 |