NPI: 1881292019 · STREATOR, IL 61364 · 363LW0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 275 | $8K |
| 2022 | 266 | $10K |
| 2023 | 581 | $38K |
| 2024 | 533 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | 389 | 325 | $37K | |
| 0502F | 442 | 296 | $30K | |
| 99213 | 332 | 295 | $16K | |
| J1050 | Medroxyprogesterone acetate | 58 | 43 | $4K |
| 0503F | 39 | 24 | $3K | |
| 99214 | 46 | 40 | $3K | |
| 0500F | 32 | 27 | $2K | |
| 81025 | 187 | 150 | $886.58 | |
| S4993 | Contraceptive pills for bc | 22 | 18 | $774.98 |
| 87806 | 32 | 30 | $629.12 | |
| 96372 | 59 | 44 | $578.79 | |
| 90656 | 17 | 16 | $268.11 |