NPI: 1962715904 · FORT WAYNE, IN 46804 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 122 | $1K |
| 2019 | 284 | $9K |
| 2020 | 841 | $32K |
| 2021 | 1,105 | $44K |
| 2022 | 3,233 | $123K |
| 2023 | 5,345 | $220K |
| 2024 | 4,094 | $201K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 2,391 | 2,112 | $125K | |
| D2392 | 1,518 | 916 | $123K | |
| D0120 | 2,875 | 2,601 | $70K | |
| D2391 | 941 | 550 | $60K | |
| D0274 | 1,410 | 1,286 | $50K | |
| D1206 | 1,815 | 1,648 | $40K | |
| D1120 | 1,074 | 1,004 | $36K | |
| D2393 | 314 | 230 | $32K | |
| D0150 | 658 | 583 | $26K | |
| D7140 | 207 | 78 | $21K | |
| D0140 | 357 | 326 | $14K | |
| D0272 | 544 | 506 | $13K | |
| D0220 | 443 | 398 | $5K | |
| D0210 | 89 | 83 | $5K | |
| D1351 | 187 | 60 | $5K | |
| D0330 | 61 | 57 | $3K | |
| D1208 | 113 | 67 | $2K | |
| D0230 | 27 | 12 | $171.00 |