NPI: 1851880157 · GLENDALE, WI 53212 · 101Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 77 | $2K |
| 2022 | 270 | $6K |
| 2023 | 249 | $6K |
| 2024 | 68 | $966.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0054A | 148 | 146 | $3K | |
| 0124A | 101 | 85 | $3K | |
| 91322 | 28 | 23 | $2K | |
| 99214 | 45 | 44 | $1K | |
| 90480 | 83 | 63 | $1K | |
| 0051A | 39 | 38 | $1K | |
| 99213 | 61 | 39 | $764.97 | |
| 90658 | 26 | 26 | $661.54 | |
| M0201 | Pne flu hepb cov home admin | 43 | 31 | $574.24 |
| 0074A | 13 | 13 | $514.48 | |
| 0071A | 13 | 13 | $350.80 | |
| 90686 | 19 | 16 | $243.44 | |
| 0052A | 15 | 15 | $118.16 | |
| 90471 | 30 | 30 | $0.00 |