NPI: 1871665380 · LAKE ST LOUIS, MO 63367 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,455 | $2.71M |
| 2019 | 11,770 | $2.32M |
| 2020 | 7,716 | $1.06M |
| 2021 | 11,131 | $433K |
| 2022 | 12,637 | $737K |
| 2023 | 12,754 | $850K |
| 2024 | 10,930 | $747K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X4011 | 10,812 | 10,205 | $3.02M | |
| 99283 | 7,002 | 6,749 | $1.16M | |
| 85025 | 17,592 | 15,817 | $988K | |
| 80053 | 15,802 | 14,504 | $874K | |
| 99284 | 3,771 | 3,480 | $685K | |
| G0463 | Hospital outpt clinic visit | 5,534 | 4,973 | $353K |
| X4006 | 495 | 413 | $249K | |
| 96374 | 2,386 | 2,174 | $242K | |
| 93005 | 3,152 | 2,869 | $176K | |
| 87804 | 380 | 189 | $127K | |
| 71046 | 1,541 | 1,437 | $123K | |
| 81001 | 699 | 670 | $97K | |
| X4003 | 1,065 | 862 | $92K | |
| 99285 | 333 | 304 | $88K | |
| 99282 | 1,684 | 1,650 | $83K | |
| 81025 | 281 | 273 | $62K | |
| 83735 | 607 | 557 | $60K | |
| 81003 | 195 | 173 | $47K | |
| G0378 | Hospital observation per hr | 173 | 145 | $45K |
| 76816 | 529 | 497 | $43K | |
| 0241U | 390 | 374 | $43K | |
| 81002 | 55 | 41 | $29K | |
| 96375 | 768 | 669 | $25K | |
| 84484 | 1,499 | 1,064 | $23K | |
| J3490 | Drugs unclassified injection | 457 | 326 | $12K |
| 87086 | 78 | 74 | $11K | |
| 83690 | 246 | 237 | $11K | |
| C9803 | Hopd covid-19 spec collect | 629 | 602 | $9K |
| 80048 | 81 | 69 | $9K | |
| 87880 | 158 | 154 | $8K | |
| 87807 | 24 | 24 | $8K | |
| 59025 | 14 | 13 | $8K | |
| 76817 | 134 | 125 | $7K | |
| 76811 | 29 | 29 | $5K | |
| 62323 | 17 | 14 | $5K | |
| 70450 | 88 | 76 | $4K | |
| 85610 | 83 | 74 | $3K | |
| 85730 | 29 | 26 | $3K | |
| 43239 | 12 | 12 | $3K | |
| 20610 | 32 | 25 | $3K | |
| 76818 | 62 | 38 | $3K | |
| 80307 | 87 | 72 | $2K | |
| 94640 | 25 | 25 | $2K | |
| 94060 | 13 | 13 | $2K | |
| 0240U | 47 | 46 | $2K | |
| 93306 | 14 | 12 | $2K | |
| 94726 | 12 | 12 | $1K | |
| 96361 | 46 | 41 | $1K | |
| 74177 | 14 | 13 | $1K | |
| 88305 | 63 | 40 | $1K | |
| 96372 | 12 | 12 | $666.05 | |
| 87081 | 44 | 43 | $196.46 | |
| 71045 | 13 | 13 | $132.57 | |
| 76815 | 23 | 13 | $128.82 | |
| 86140 | 29 | 25 | $55.92 | |
| G1004 | Cdsm ndsc | 17 | 13 | $0.00 |
| A9270 | Non-covered item or service | 16 | 13 | $0.00 |