NPI: 1891769303 · MICHIGAN CITY, IN 46360 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 455 | $23K |
| 2019 | 910 | $46K |
| 2020 | 2,742 | $125K |
| 2021 | 2,343 | $116K |
| 2022 | 3,161 | $184K |
| 2023 | 10,524 | $570K |
| 2024 | 16,136 | $893K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 13,509 | 10,156 | $999K | |
| 87633 | 1,054 | 896 | $355K | |
| 99204 | 1,145 | 982 | $97K | |
| 99212 | 4,093 | 3,553 | $95K | |
| 99213 | 1,842 | 1,624 | $92K | |
| 36410 | 4,229 | 3,475 | $63K | |
| 87581 | 1,044 | 907 | $43K | |
| 87486 | 1,044 | 907 | $43K | |
| 99396 | 389 | 345 | $33K | |
| 87798 | 450 | 379 | $18K | |
| 99386 | 142 | 131 | $15K | |
| U0002 | Covid-19 lab test non-cdc | 238 | 218 | $12K |
| 99490 | Ccm add 20min | 1,016 | 1,007 | $11K |
| 96127 | 748 | 582 | $11K | |
| 99395 | 107 | 97 | $9K | |
| 81000 | 2,836 | 2,328 | $8K | |
| 99385 | 72 | 65 | $7K | |
| 86769 | 152 | 138 | $6K | |
| 87880 | 367 | 294 | $6K | |
| 87635 | 103 | 90 | $5K | |
| 93923 | 62 | 62 | $3K | |
| 99439 | 326 | 318 | $3K | |
| 99215 | Prolong outpt/office vis | 53 | 52 | $3K |
| 99397 | 32 | 27 | $3K | |
| 99205 | Prolong outpt/office vis | 24 | 23 | $2K |
| 95923 | 54 | 49 | $2K | |
| 95921 | 53 | 48 | $2K | |
| 96372 | 207 | 175 | $2K | |
| 87426 | 57 | 52 | $2K | |
| 96365 | 41 | 13 | $2K | |
| 93000 | 119 | 90 | $1K | |
| G2023 | Specimen collect covid-19 | 66 | 60 | $1K |
| 96368 | 41 | 13 | $748.66 | |
| 99457 | 144 | 139 | $520.66 | |
| 96361 | 41 | 13 | $469.86 | |
| 99454 | 175 | 172 | $349.24 | |
| J1885 | Ketorolac tromethamine inj | 20 | 17 | $42.11 |
| J2405 | Ondansetron hcl injection | 80 | 26 | $14.70 |
| J1100 | Dexamethasone sodium phos | 71 | 66 | $9.10 |
| 99453 | 13 | 13 | $0.00 | |
| 36415 | 12 | 12 | $0.00 |