NPI: 1891887790 · WAVERLY, OH 45690 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 51,218 | $1.34M |
| 2019 | 53,444 | $1.15M |
| 2020 | 38,666 | $908K |
| 2021 | 43,849 | $1.05M |
| 2022 | 39,041 | $1.03M |
| 2023 | 74,355 | $1.25M |
| 2024 | 33,641 | $598K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 64,713 | 50,227 | $4.34M |
| 99213 | 75,494 | 40,808 | $1.54M | |
| 99214 | 24,935 | 14,988 | $731K | |
| 90460 | 8,320 | 5,103 | $129K | |
| 99212 | 6,014 | 3,316 | $70K | |
| 90837 | 1,796 | 739 | $64K | |
| 99392 | 1,793 | 1,092 | $55K | |
| 99394 | 1,648 | 983 | $54K | |
| 90834 | 2,113 | 928 | $52K | |
| G0467 | Fqhc visit, estab pt | 3,250 | 2,780 | $46K |
| 99393 | 1,305 | 762 | $39K | |
| 99391 | 1,326 | 796 | $35K | |
| 90832 | 1,687 | 794 | $32K | |
| 90791 | 582 | 324 | $27K | |
| 90792 | 708 | 488 | $26K | |
| 99204 | 478 | 270 | $18K | |
| 96372 | 1,301 | 843 | $9K | |
| 83036 | 2,423 | 1,451 | $8K | |
| 36416 | 4,995 | 3,133 | $6K | |
| 81025 | 1,697 | 1,008 | $5K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 946 | 802 | $5K |
| 81002 | 4,309 | 1,967 | $5K | |
| 80305 | 1,416 | 630 | $4K | |
| 82962 | 3,460 | 2,013 | $4K | |
| 98926 | 398 | 247 | $4K | |
| 99406 | 825 | 452 | $4K | |
| G2012 | Brief check in by md/qhp | 563 | 236 | $3K |
| 99203 | 132 | 85 | $3K | |
| 99215 | Prolong outpt/office vis | 38 | 38 | $2K |
| 99460 | 30 | 30 | $2K | |
| 87880 | 225 | 132 | $1K | |
| 92552 | 216 | 112 | $1K | |
| 90686 | 1,981 | 1,112 | $1K | |
| 90756 | 582 | 337 | $1K | |
| H1000 | Prenatal care atrisk assessm | 177 | 100 | $984.34 |
| 99441 | 162 | 85 | $908.88 | |
| 99383 | 21 | 12 | $766.91 | |
| 87400 | 138 | 71 | $754.66 | |
| 99173 | 528 | 296 | $566.64 | |
| 90471 | 85 | 50 | $563.86 | |
| D0140 | 16 | 16 | $379.36 | |
| 97803 | 487 | 275 | $251.58 | |
| 85018 | 187 | 141 | $177.32 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 51 | 46 | $155.18 |
| D0230 | 27 | 12 | $141.75 | |
| D0220 | 21 | 20 | $110.25 | |
| 90661 | 53 | 52 | $73.70 | |
| 90863 | 1,867 | 1,511 | $31.99 | |
| 3077F | 4,430 | 2,360 | $0.27 | |
| 3074F | 22,425 | 11,773 | $0.27 | |
| 3078F | 19,619 | 10,372 | $0.26 | |
| 3079F | 13,073 | 6,970 | $0.25 | |
| 3080F | 1,816 | 979 | $0.13 | |
| 3075F | 7,636 | 4,092 | $0.13 | |
| 90677 | 12 | 12 | $0.03 | |
| G8484 | Flu immunize no admin | 670 | 405 | $0.00 |
| G8431 | Pos clin depres scrn f/u doc | 200 | 136 | $0.00 |
| 90670 | 1,430 | 922 | $0.00 | |
| 4004F | 5,554 | 2,907 | $0.00 | |
| 1160F | 1,986 | 1,846 | $0.00 | |
| 99395 | 25 | 24 | $0.00 | |
| 90710 | 476 | 298 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 2,699 | 1,320 | $0.00 |
| 90734 | 663 | 411 | $0.00 | |
| 1159F | 1,988 | 1,848 | $0.00 | |
| J2315 | Naltrexone, depot form | 534 | 362 | $0.00 |
| 90715 | 252 | 157 | $0.00 | |
| G8482 | Flu immunize order/admin | 235 | 149 | $0.00 |
| 90633 | 448 | 280 | $0.00 | |
| 90649 | 137 | 103 | $0.00 | |
| 98960 | 397 | 189 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 16 | 14 | $0.00 |
| 90685 | 95 | 58 | $0.00 | |
| 77067 | 194 | 102 | $0.00 | |
| G8483 | Flu imm no admin doc rea | 38 | 24 | $0.00 |
| 90698 | 1,313 | 825 | $0.00 | |
| 1036F | 4,559 | 2,378 | $0.00 | |
| 1111F | 11,287 | 5,563 | $0.00 | |
| G8420 | Calc bmi norm parameters | 538 | 254 | $0.00 |
| 90651 | 374 | 215 | $0.00 | |
| 90688 | 45 | 44 | $0.00 | |
| 90680 | 256 | 157 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 316 | 185 | $0.00 |
| 90744 | 409 | 257 | $0.00 | |
| 90696 | 127 | 76 | $0.00 | |
| 0001F | 2,128 | 1,113 | $0.00 | |
| 90650 | 123 | 69 | $0.00 | |
| 87110 | 116 | 62 | $0.00 | |
| G8418 | Calc bmi blw low param f/u | 22 | 12 | $0.00 |
| 90634 | 34 | 26 | $0.00 |