NPI: 1942595657 · KENOSHA, WI 53140 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,068 | $28K |
| 2020 | 1,069 | $29K |
| 2021 | 3,729 | $53K |
| 2022 | 1,229 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 198 | 164 | $38K |
| 99213 | 1,054 | 940 | $23K | |
| 99393 | 412 | 381 | $19K | |
| 99394 | 228 | 216 | $11K | |
| 99173 | 794 | 754 | $11K | |
| 99392 | 191 | 186 | $10K | |
| 92551 | 810 | 763 | $8K | |
| 3008F | 853 | 791 | $5K | |
| 80061 | 247 | 215 | $2K | |
| 99391 | 27 | 25 | $1K | |
| 96127 | 352 | 332 | $1K | |
| 99212 | 57 | 51 | $949.32 | |
| 0072A | 23 | 21 | $801.36 | |
| 96110 | 47 | 39 | $568.34 | |
| 96372 | 176 | 76 | $522.98 | |
| 90686 | 415 | 379 | $496.80 | |
| 99211 | 30 | 30 | $361.76 | |
| 90670 | 79 | 66 | $142.73 | |
| 90460 | 408 | 381 | $84.40 | |
| 90685 | 22 | 18 | $43.03 | |
| 90647 | 15 | 12 | $39.72 | |
| 90674 | 15 | 15 | $36.41 | |
| 90633 | 15 | 14 | $36.41 | |
| 90461 | 403 | 210 | $21.56 | |
| 90715 | 43 | 39 | $6.88 | |
| 90734 | 94 | 88 | $3.93 | |
| 90651 | 47 | 44 | $3.49 | |
| 90710 | 16 | 13 | $0.11 | |
| 91307 | 24 | 21 | $0.02 |