NPI: 1972558880 · CHICAGO, IL 60623 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 74 | $822.86 |
| 2021 | 2,201 | $79K |
| 2022 | 1,221 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 880 | 852 | $36K | |
| 0011A | 881 | 840 | $33K | |
| 0013A | 336 | 328 | $14K | |
| 0071A | 187 | 167 | $8K | |
| 0072A | 167 | 162 | $7K | |
| 0002A | 125 | 119 | $5K | |
| 0001A | 92 | 83 | $4K | |
| 0003A | 67 | 65 | $3K | |
| 0124A | 32 | 27 | $1K | |
| 0064A | 28 | 28 | $1K | |
| 90686 | 58 | 58 | $1K | |
| 0134A | 15 | 13 | $627.00 | |
| 91306 | 69 | 60 | $168.77 | |
| 91300 | 141 | 118 | $84.44 | |
| 91301 | 204 | 197 | $1.49 | |
| 91307 | 186 | 147 | $0.26 | |
| 90471 | 28 | 28 | $0.00 |