NPI: 1962713909 · WOODRIDGE, IL 60517 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,737 | $152K |
| 2019 | 7,890 | $339K |
| 2020 | 4,742 | $221K |
| 2021 | 1,174 | $68K |
| 2022 | 692 | $39K |
| 2023 | 548 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 9,412 | 8,185 | $570K | |
| 99213 | 4,697 | 4,266 | $201K | |
| 87804 | 1,568 | 834 | $38K | |
| 87880 | 1,391 | 1,193 | $21K | |
| 96372 | 396 | 304 | $3K | |
| 99396 | 39 | 37 | $2K | |
| 99215 | Prolong outpt/office vis | 83 | 80 | $2K |
| 94640 | 159 | 105 | $2K | |
| J0561 | Penicillin g benzathine inj | 16 | 16 | $2K |
| 90686 | 97 | 82 | $2K | |
| 87807 | 151 | 85 | $2K | |
| 0004A | 68 | 55 | $1K | |
| 81025 | 521 | 477 | $1K | |
| 0124A | 41 | 41 | $520.00 | |
| 99309 | 16 | 15 | $261.08 | |
| 99310 | Prolong nursin fac eval 15m | 30 | 30 | $217.82 |
| 81003 | 25 | 25 | $54.50 | |
| 90471 | 73 | 62 | $0.00 |