NPI: 1962085449 · TERRE HAUTE, IN 47802 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,695 | $124K |
| 2022 | 10,888 | $277K |
| 2023 | 10,425 | $309K |
| 2024 | 8,142 | $270K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,861 | 4,655 | $363K | |
| 99213 | 4,571 | 3,366 | $229K | |
| T1015 | Clinic service | 18,483 | 12,209 | $217K |
| 98941 | 1,296 | 333 | $41K | |
| 90834 | 630 | 460 | $34K | |
| 99204 | 259 | 186 | $23K | |
| 90832 | 321 | 253 | $12K | |
| 99396 | 147 | 122 | $12K | |
| 90853 | 538 | 108 | $9K | |
| G0467 | Fqhc visit, estab pt | 1,066 | 610 | $9K |
| 99395 | 95 | 90 | $8K | |
| 99203 | 154 | 105 | $8K | |
| 90837 | 64 | 41 | $6K | |
| 98940 | 120 | 41 | $2K | |
| 87428 | 81 | 79 | $2K | |
| 90791 | 14 | 14 | $2K | |
| 80305 | 70 | 58 | $585.33 | |
| 90471 | 56 | 42 | $410.75 | |
| G0466 | Fqhc visit new patient | 47 | 32 | $353.04 |
| 87804 | 27 | 18 | $326.97 | |
| 36415 | 156 | 84 | $268.23 | |
| 81025 | 39 | 24 | $243.69 | |
| 81002 | 55 | 52 | $132.07 |