NPI: 1851632111 · MARSHFIELD, WI 54449 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29,594 | $1.32M |
| 2019 | 13,684 | $618K |
| 2020 | 8,009 | $397K |
| 2021 | 10,663 | $477K |
| 2022 | 6,730 | $271K |
| 2023 | 2,429 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 31,296 | 28,716 | $1.63M | |
| 99213 | 17,706 | 16,234 | $559K | |
| 90834 | 5,646 | 3,646 | $330K | |
| 99392 | 1,609 | 1,581 | $91K | |
| 99393 | 1,147 | 1,125 | $65K | |
| H0022 | Alcohol and/or drug interven | 2,600 | 1,563 | $45K |
| 99391 | 819 | 785 | $45K | |
| 77067 | 474 | 432 | $44K | |
| 90792 | 293 | 284 | $40K | |
| 99215 | Prolong outpt/office vis | 539 | 486 | $37K |
| 99394 | 495 | 488 | $28K | |
| 76816 | 337 | 226 | $23K | |
| 3008F | 2,355 | 2,279 | $22K | |
| 99212 | 831 | 723 | $17K | |
| 96119 | 116 | 113 | $16K | |
| 96118 | 82 | 81 | $15K | |
| 90847 | 196 | 168 | $15K | |
| 76805 | 133 | 114 | $15K | |
| H0001 | Alcohol and/or drug assess | 33 | 33 | $13K |
| 99203 | 180 | 176 | $12K | |
| 71046 | 783 | 635 | $12K | |
| 92015 | 1,190 | 1,160 | $11K | |
| 90791 | 109 | 96 | $11K | |
| 99243 | 101 | 100 | $6K | |
| 99205 | Prolong outpt/office vis | 50 | 50 | $6K |
| Q3014 | Telehealth facility fee | 310 | 259 | $6K |
| 92004 | 127 | 122 | $5K | |
| 92014 | 129 | 127 | $5K | |
| 92567 | 244 | 236 | $4K | |
| 92557 | 102 | 95 | $4K | |
| 96120 | 52 | 52 | $4K | |
| 97167 | 56 | 56 | $4K | |
| 99244 | 45 | 45 | $3K | |
| 73630 | 163 | 121 | $3K | |
| 76811 | 16 | 15 | $3K | |
| J1050 | Medroxyprogesterone acetate | 27 | 27 | $2K |
| 76820 | 45 | 25 | $2K | |
| 93306 | 12 | 12 | $2K | |
| 76700 | 13 | 13 | $2K | |
| 76830 | 13 | 13 | $1K | |
| 76705 | 14 | 14 | $1K | |
| 94010 | 33 | 31 | $1K | |
| D9243 | 25 | 12 | $1K | |
| 99245 | 14 | 14 | $975.12 | |
| 73562 | 39 | 32 | $889.15 | |
| 97110 | 26 | 12 | $849.98 | |
| 93000 | 40 | 38 | $747.95 | |
| 99395 | 19 | 12 | $746.40 | |
| 73610 | 36 | 29 | $722.32 | |
| 90832 | 16 | 13 | $686.94 | |
| 92523 | 25 | 17 | $680.82 | |
| 92579 | 34 | 29 | $671.55 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 60 | 57 | $593.64 |
| 74018 | 30 | 28 | $440.20 | |
| 73110 | 13 | 12 | $403.75 | |
| 93325 | 20 | 12 | $393.59 | |
| 92134 | 12 | 12 | $374.96 | |
| 73030 | 13 | 12 | $369.04 | |
| A9578 | Inj multihance multipack | 13 | 12 | $336.77 |
| D0140 | 13 | 12 | $244.93 | |
| 93010 | 17 | 16 | $150.28 | |
| H0005 | Alcohol and/or drug services | 27 | 13 | $108.78 |
| 90686 | 24 | 24 | $76.13 | |
| 96372 | 36 | 28 | $74.22 | |
| 90674 | 21 | 21 | $27.82 | |
| G0008 | Admin influenza virus vac | 15 | 15 | $0.00 |