NPI: 1831757103 · BELLEVILLE, IL 62226 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 353 | $10K |
| 2022 | 1,186 | $22K |
| 2023 | 5,506 | $207K |
| 2024 | 565 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,153 | 1,086 | $74K | |
| 99213 | 1,583 | 1,488 | $63K | |
| 99204 | 502 | 476 | $39K | |
| 99203 | 623 | 621 | $28K | |
| 87426 | 450 | 403 | $15K | |
| 99000 | 695 | 661 | $15K | |
| 87880 | 593 | 550 | $9K | |
| 87804 | 240 | 187 | $6K | |
| 87428 | 90 | 86 | $6K | |
| 99305 | 98 | 98 | $1K | |
| 96372 | 98 | 80 | $924.30 | |
| 99309 | 716 | 176 | $918.67 | |
| 87210 | 192 | 183 | $887.34 | |
| 81002 | 296 | 280 | $759.27 | |
| 81025 | 25 | 25 | $124.13 | |
| 36415 | 240 | 227 | $43.45 | |
| J0696 | Ceftriaxone sodium injection | 16 | 13 | $15.79 |