NPI: 1881609964 · WISCONSIN RAPIDS, WI 54494 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 109 | $2K |
| 2019 | 188 | $3K |
| 2020 | 168 | $3K |
| 2021 | 2,453 | $44K |
| 2022 | 724 | $12K |
| 2023 | 280 | $14K |
| 2024 | 55 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 585 | 568 | $21K | |
| 0002A | 480 | 465 | $18K | |
| 91320 | 99 | 73 | $9K | |
| 90686 | 335 | 282 | $7K | |
| 90674 | 217 | 217 | $7K | |
| A4627 | Spacer bag/reservoir | 382 | 360 | $4K |
| 0004A | 71 | 71 | $3K | |
| 0071A | 56 | 54 | $2K | |
| 0124A | 55 | 55 | $2K | |
| 0054A | 37 | 37 | $1K | |
| 0051A | 32 | 32 | $1K | |
| 0072A | 29 | 29 | $1K | |
| 0052A | 28 | 28 | $1K | |
| 90679 | 25 | 14 | $885.00 | |
| 90656 | 31 | 31 | $718.20 | |
| 91305 | 172 | 166 | $0.00 | |
| 91307 | 114 | 93 | $0.00 | |
| 91301 | 16 | 16 | $0.00 | |
| 91300 | 1,158 | 1,019 | $0.00 | |
| 91312 | 55 | 55 | $0.00 |