NPI: 1982769782 · SPRINGFIELD, IL 62703 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 563 | $8K |
| 2019 | 1,044 | $10K |
| 2020 | 271 | $3K |
| 2021 | 542 | $9K |
| 2022 | 173 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 78815 | 312 | 304 | $13K | |
| 71046 | 909 | 872 | $6K | |
| 71045 | 787 | 699 | $3K | |
| 78454 | 107 | 106 | $2K | |
| 78264 | 13 | 13 | $2K | |
| 73630 | 84 | 67 | $1K | |
| 73130 | 83 | 55 | $1K | |
| 74177 | 28 | 28 | $1K | |
| 73560 | 40 | 19 | $635.70 | |
| 73110 | 45 | 43 | $615.19 | |
| 74018 | 98 | 89 | $586.81 | |
| 72100 | 28 | 26 | $366.60 | |
| A9552 | F18 fdg | 12 | 12 | $308.65 |
| 73610 | 15 | 14 | $255.94 | |
| 74230 | 13 | 12 | $63.50 | |
| G9637 | Doc >1 dose reduc tech | 19 | 18 | $0.00 |