NPI: 1922515469 · WICHITA, KS 67212 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 182 | $0.00 |
| 2020 | 298 | $0.00 |
| 2021 | 1,608 | $3K |
| 2022 | 1,851 | $757.00 |
| 2023 | 942 | $2K |
| 2024 | 2,622 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91322 | 965 | 965 | $2K | |
| 0004A | 30 | 30 | $1K | |
| 0124A | 620 | 620 | $1K | |
| 0011A | 326 | 324 | $934.38 | |
| 0034A | 29 | 29 | $680.00 | |
| 0053A | 45 | 45 | $37.00 | |
| 90480 | 936 | 936 | $0.00 | |
| 0064A | 144 | 144 | $0.00 | |
| Q0513 | Disp fee inhal drugs/30 days | 305 | 282 | $0.00 |
| 90694 | 497 | 496 | $0.00 | |
| G0008 | Admin influenza virus vac | 962 | 961 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 158 | 158 | $0.00 |
| 0134A | 87 | 87 | $0.00 | |
| 0012A | 217 | 217 | $0.00 | |
| J7620 | Albuterol ipratrop non-comp | 86 | 52 | $0.00 |
| 90677 | 244 | 244 | $0.00 | |
| 90674 | 109 | 109 | $0.00 | |
| 0031A | 25 | 25 | $0.00 | |
| 91305 | 44 | 44 | $0.00 | |
| 0003A | 510 | 510 | $0.00 | |
| 0013A | 184 | 184 | $0.00 | |
| 0054A | 445 | 445 | $0.00 | |
| 91312 | 67 | 67 | $0.00 | |
| 91320 | 23 | 23 | $0.00 | |
| 90670 | 13 | 13 | $0.00 | |
| 91300 | 32 | 32 | $0.00 | |
| 90661 | 46 | 46 | $0.00 | |
| 90653 | 354 | 354 | $0.00 |