NPI: 1831168673 · LIBERAL, KS 67901 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,424 | $313K |
| 2019 | 3,094 | $93K |
| 2020 | 375 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,771 | 4,089 | $185K | |
| 99391 | 691 | 615 | $46K | |
| 96110 | 1,275 | 1,169 | $40K | |
| 99392 | 427 | 424 | $29K | |
| 87804 | 1,835 | 891 | $26K | |
| 92587 | 527 | 523 | $23K | |
| 87880 | 2,754 | 2,629 | $20K | |
| 99393 | 257 | 257 | $18K | |
| 99394 | 151 | 150 | $10K | |
| D1208 | 565 | 562 | $9K | |
| 99203 | 39 | 38 | $3K | |
| 87807 | 149 | 141 | $2K | |
| 99173 | 299 | 292 | $935.00 | |
| 99238 | 12 | 12 | $619.74 | |
| 99212 | 21 | 21 | $476.16 | |
| 94640 | 17 | 17 | $157.92 | |
| 83655 | 12 | 12 | $140.40 | |
| 86318 | 12 | 12 | $110.00 | |
| 81002 | 26 | 25 | $72.24 | |
| J0696 | Ceftriaxone sodium injection | 13 | 12 | $57.37 |
| 85018 | 12 | 12 | $13.10 | |
| J7644 | Ipratropium bromide non-comp | 12 | 12 | $2.42 |
| J7614 | Levalbuterol non-comp unit | 16 | 16 | $1.92 |