NPI: 1881668622 · GARDEN CITY, KS 67846 · 163W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,327 | $48K |
| 2019 | 6,029 | $57K |
| 2020 | 2,515 | $26K |
| 2021 | 2,881 | $31K |
| 2022 | 3,074 | $31K |
| 2023 | 3,515 | $33K |
| 2024 | 1,586 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | 3,990 | 3,931 | $104K | |
| 90471 | 6,291 | 6,195 | $88K | |
| T1001 | Nursing assessment/evaluatn | 624 | 595 | $14K |
| 90474 | 461 | 449 | $6K | |
| 81025 | 1,057 | 927 | $6K | |
| 99213 | 115 | 108 | $4K | |
| 99212 | 225 | 184 | $4K | |
| 90686 | 1,681 | 1,612 | $3K | |
| 99211 | 236 | 204 | $3K | |
| 90651 | 574 | 566 | $2K | |
| 96110 | 59 | 59 | $2K | |
| 81002 | 664 | 597 | $2K | |
| 90688 | 218 | 160 | $1K | |
| 90716 | 137 | 130 | $915.13 | |
| 90473 | 55 | 54 | $781.23 | |
| 90715 | 379 | 376 | $290.73 | |
| 90670 | 1,463 | 1,438 | $230.14 | |
| 92587 | 13 | 12 | $220.00 | |
| 90707 | 86 | 83 | $210.54 | |
| 90620 | 174 | 172 | $165.75 | |
| 90656 | 93 | 92 | $126.36 | |
| 99173 | 27 | 27 | $125.00 | |
| 87880 | 14 | 14 | $105.00 | |
| 87591 | 185 | 154 | $82.49 | |
| 85018 | 27 | 25 | $28.84 | |
| J1050 | Medroxyprogesterone acetate | 119 | 110 | $4.85 |
| 87491 | 186 | 155 | $0.05 | |
| 87389 | 30 | 25 | $0.05 | |
| 86592 | 30 | 25 | $0.02 | |
| 90713 | 16 | 12 | $0.00 | |
| 90633 | 838 | 830 | $0.00 | |
| 90710 | 291 | 289 | $0.00 | |
| 90734 | 548 | 541 | $0.00 | |
| 83655 | 40 | 39 | $0.00 | |
| 90700 | 108 | 104 | $0.00 | |
| 90685 | 212 | 207 | $0.00 | |
| 90662 | 12 | 12 | $0.00 | |
| 90681 | 14 | 14 | $0.00 | |
| G0008 | Admin influenza virus vac | 366 | 331 | $0.00 |
| 90697 | 190 | 190 | $0.00 | |
| 90680 | 510 | 496 | $0.00 | |
| 90723 | 965 | 944 | $0.00 | |
| 90647 | 948 | 929 | $0.00 | |
| 90677 | 136 | 135 | $0.00 | |
| 90696 | 196 | 193 | $0.00 | |
| 90619 | 294 | 292 | $0.00 | |
| 97802 | 30 | 30 | $0.00 |