NPI: 1841824802 · FLOSSMOOR, IL 60422 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 324 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1852 | Ko double upright prefab ots | 85 | 43 | $8K |
| L0651 | Lso sag-co shell pnl pre ots | 63 | 59 | $8K |
| L2397 | Suspension sleeve lower ext | 86 | 43 | $877.50 |
| A4239 | Non-adju cgm supply allow | 49 | 41 | $68.90 |
| L3916 | Who nontorsion jnts pre ots | 24 | 12 | $0.00 |
| E2103 | Non-adju cgm receiver/mon | 17 | 14 | $0.00 |