NPI: 1841626785 · KENOSHA, WI 53144 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 527 | $6K |
| 2022 | 139 | $2K |
| 2023 | 111 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 157 | 76 | $3K | |
| 91322 | 37 | 19 | $2K | |
| 0002A | 53 | 52 | $2K | |
| 0001A | 55 | 52 | $2K | |
| 0071A | 59 | 28 | $1K | |
| 0124A | 15 | 15 | $572.40 | |
| 0064A | 16 | 15 | $534.24 | |
| 0012A | 14 | 14 | $496.08 | |
| 0134A | 13 | 13 | $496.08 | |
| 0011A | 14 | 14 | $496.08 | |
| 0004A | 15 | 14 | $419.76 | |
| 91307 | 65 | 32 | $0.00 | |
| 91306 | 16 | 15 | $0.00 | |
| 91301 | 28 | 19 | $0.00 | |
| 91300 | 192 | 151 | $0.00 | |
| 91313 | 13 | 13 | $0.00 | |
| 91312 | 15 | 15 | $0.00 |