NPI: 1922059898 · INDIANAPOLIS, IN 46202 · 207LP2900X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,517 | $75K |
| 2019 | 1,287 | $59K |
| 2020 | 1,259 | $68K |
| 2021 | 844 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00140 | 901 | 812 | $86K | |
| 00170 | 213 | 188 | $27K | |
| 01967 | 771 | 638 | $26K | |
| 00731 | 946 | 852 | $22K | |
| 00104 | 671 | 334 | $16K | |
| 36620 | 1,089 | 897 | $12K | |
| 76942 | 1,206 | 1,066 | $11K | |
| 27096 | 131 | 110 | $10K | |
| 62323 | 122 | 105 | $9K | |
| 00790 | 313 | 262 | $4K | |
| 64635 | 38 | 25 | $4K | |
| 99152 | 367 | 285 | $3K | |
| 99140 | 564 | 474 | $3K | |
| 99203 | 52 | 44 | $2K | |
| 36556 | 173 | 119 | $2K | |
| 00400 | 157 | 130 | $2K | |
| 64493 | 88 | 30 | $2K | |
| 01961 | 243 | 227 | $2K | |
| 00840 | 196 | 169 | $1K | |
| 99231 | 540 | 484 | $1K | |
| 64636 | 42 | 25 | $1K | |
| 00670 | 56 | 45 | $1K | |
| 01480 | 248 | 216 | $1K | |
| 64494 | 83 | 28 | $1K | |
| 00811 | 292 | 277 | $1K | |
| 00320 | 58 | 53 | $520.32 | |
| 00813 | 91 | 88 | $422.76 | |
| 00300 | 58 | 50 | $325.20 | |
| 64445 | 158 | 127 | $270.17 | |
| 64415 | 153 | 125 | $250.11 | |
| 00910 | 12 | 12 | $243.90 | |
| 01830 | 27 | 26 | $211.38 | |
| 64447 | 267 | 229 | $196.12 | |
| 01810 | 61 | 52 | $189.63 | |
| 99153 | Mod sedat endo service >5yrs | 24 | 13 | $164.56 |
| 76937 | 13 | 12 | $135.48 | |
| 00812 | 15 | 14 | $113.82 | |
| 62322 | 163 | 156 | $89.20 | |
| 64488 | 75 | 57 | $0.00 | |
| 00142 | 15 | 12 | $0.00 | |
| 00952 | 14 | 14 | $0.00 | |
| 00562 | 14 | 12 | $0.00 | |
| 01400 | 18 | 13 | $0.00 | |
| 00902 | 13 | 12 | $0.00 | |
| 00160 | 14 | 14 | $0.00 | |
| 00851 | 71 | 63 | $0.00 | |
| 01968 | 35 | 33 | $0.00 | |
| 93312 | 36 | 30 | $0.00 |