NPI: 1992868277 · WASHINGTON, MO 63090 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,199 | $27K |
| 2019 | 892 | $23K |
| 2020 | 884 | $30K |
| 2021 | 1,450 | $144K |
| 2022 | 407 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0129 | Abatacept injection | 274 | 231 | $187K |
| 99213 | 1,529 | 1,435 | $35K | |
| 99214 | 554 | 529 | $24K | |
| 96365 | 281 | 247 | $3K | |
| 85651 | 1,101 | 1,066 | $2K | |
| G0480 | Drug test def 1-7 classes | 14 | 14 | $1K |
| 80307 | 14 | 14 | $799.94 | |
| 90471 | 14 | 14 | $176.09 | |
| 80305 | 26 | 26 | $137.38 | |
| J7050 | Normal saline solution infus | 291 | 253 | $45.20 |
| 36415 | 504 | 479 | $14.76 | |
| G9359 | Neg mgd pos tb notact | 24 | 21 | $0.00 |
| 90756 | 30 | 25 | $0.00 | |
| 4192F | 41 | 40 | $0.00 | |
| G0008 | Admin influenza virus vac | 41 | 36 | $0.00 |
| M1007 | >=50% total pt outpt ra enct | 48 | 47 | $0.00 |
| 1170F | 46 | 45 | $0.00 |