NPI: 1861626087 · ASHLAND, WI 54806 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $716.70 |
| 2019 | 34 | $799.08 |
| 2020 | 26 | $412.80 |
| 2021 | 2,091 | $35K |
| 2022 | 514 | $9K |
| 2023 | 64 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 308 | 306 | $12K | |
| 0002A | 279 | 273 | $10K | |
| 0012A | 155 | 145 | $5K | |
| 91320 | 38 | 30 | $4K | |
| 0011A | 164 | 146 | $4K | |
| 0004A | 76 | 75 | $3K | |
| 0072A | 73 | 71 | $3K | |
| 90674 | 76 | 76 | $3K | |
| 0071A | 66 | 66 | $2K | |
| 90686 | 103 | 90 | $2K | |
| 0124A | 59 | 59 | $2K | |
| 0003A | 12 | 12 | $419.76 | |
| 90679 | 26 | 16 | $295.00 | |
| 91300 | 766 | 704 | $0.00 | |
| 91312 | 59 | 59 | $0.00 | |
| 91301 | 338 | 305 | $0.00 | |
| 91307 | 157 | 135 | $0.00 |