NPI: 1992170393 · SOUTH HOLLAND, IL 60473 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 367 | $27K |
| 2023 | 1,052 | $48K |
| 2024 | 471 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87633 | 86 | 76 | $29K | |
| 99204 | 185 | 168 | $14K | |
| 99203 | 234 | 230 | $11K | |
| 99214 | 117 | 110 | $9K | |
| 99202 | 253 | 249 | $8K | |
| 99213 | 139 | 132 | $8K | |
| 87798 | 30 | 28 | $3K | |
| 87880 | 157 | 144 | $2K | |
| 99205 | Prolong outpt/office vis | 23 | 23 | $2K |
| 81025 | 199 | 188 | $996.55 | |
| 99000 | 96 | 93 | $950.00 | |
| 87426 | 16 | 15 | $526.45 | |
| 99212 | 16 | 16 | $410.40 | |
| 87804 | 12 | 12 | $344.40 | |
| 81003 | 87 | 83 | $181.52 | |
| 81002 | 74 | 68 | $176.80 | |
| 36415 | 13 | 13 | $4.10 | |
| 3008F | 153 | 151 | $0.00 |