NPI: 1942215090 · GREEN BAY, WI 54302 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31 | $723.00 |
| 2020 | 42 | $658.95 |
| 2021 | 2,091 | $36K |
| 2022 | 824 | $14K |
| 2023 | 47 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 531 | 514 | $19K | |
| 0002A | 465 | 442 | $16K | |
| 90674 | 114 | 93 | $3K | |
| 0071A | 86 | 86 | $3K | |
| 0072A | 86 | 86 | $3K | |
| 91320 | 24 | 21 | $3K | |
| 0124A | 65 | 65 | $2K | |
| 0052A | 43 | 43 | $2K | |
| 90686 | 61 | 54 | $2K | |
| 0051A | 20 | 20 | $648.72 | |
| 0004A | 18 | 18 | $572.40 | |
| 0003A | 18 | 18 | $457.92 | |
| 91307 | 181 | 164 | $0.00 | |
| 91305 | 170 | 161 | $0.00 | |
| 91300 | 1,088 | 973 | $0.00 | |
| 91312 | 65 | 65 | $0.00 |