NPI: 1003112822 · FARMINGTON, MN 55024 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,640 | $25K |
| 2019 | 2,511 | $112K |
| 2020 | 1,862 | $75K |
| 2021 | 2,872 | $128K |
| 2022 | 2,755 | $139K |
| 2023 | 3,928 | $189K |
| 2024 | 2,513 | $140K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,985 | 4,467 | $358K | |
| 99213 | 5,534 | 5,112 | $300K | |
| 92014 | 525 | 512 | $45K | |
| 92004 | 191 | 190 | $20K | |
| U0003 | Cov-19 amp prb hgh thruput | 250 | 238 | $19K |
| 92015 | 1,236 | 1,206 | $15K | |
| 36415 | 3,022 | 2,762 | $12K | |
| 90460 | 297 | 294 | $8K | |
| 92340 | 221 | 217 | $5K | |
| S0302 | Completed epsdt | 764 | 747 | $5K |
| U0005 | Infec agen detec ampli probe | 217 | 207 | $5K |
| 90471 | 342 | 334 | $4K | |
| 90686 | 702 | 689 | $4K | |
| 90834 | 16 | 12 | $1K | |
| V2020 | Vision svcs frames purchases | 28 | 25 | $1K |
| 92551 | 223 | 219 | $936.44 | |
| 80061 | 39 | 38 | $530.26 | |
| 99212 | 12 | 12 | $496.99 | |
| 83036 | 38 | 38 | $363.89 | |
| 85025 | 30 | 24 | $196.11 | |
| 99173 | 213 | 209 | $190.29 | |
| 90656 | 12 | 12 | $131.03 | |
| 96127 | 25 | 25 | $54.14 | |
| X5622 | 147 | 147 | $0.00 | |
| 99394 | 12 | 12 | $0.00 |