NPI: 1023057338 · DULUTH, MN 55805 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,660 | $113K |
| 2019 | 8,356 | $245K |
| 2020 | 8,076 | $245K |
| 2021 | 6,790 | $237K |
| 2022 | 7,585 | $227K |
| 2023 | 10,131 | $280K |
| 2024 | 8,986 | $271K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0302 | Completed epsdt | 11,066 | 10,374 | $327K |
| 99213 | 7,176 | 6,825 | $266K | |
| X5622 | 3,484 | 3,266 | $246K | |
| 99392 | 3,730 | 3,646 | $187K | |
| 99391 | 4,623 | 3,913 | $170K | |
| 99214 | 2,072 | 1,991 | $126K | |
| 99393 | 1,418 | 1,378 | $67K | |
| 90472 | 3,085 | 3,020 | $52K | |
| 90471 | 3,351 | 3,280 | $42K | |
| 99188 | 4,577 | 4,485 | $29K | |
| 92551 | 4,120 | 4,047 | $28K | |
| 90460 | 796 | 761 | $27K | |
| 99394 | 142 | 142 | $9K | |
| 99173 | 3,908 | 3,844 | $9K | |
| 90461 | 354 | 338 | $6K | |
| S0281 | Medical home, maintenance | 240 | 238 | $4K |
| 99460 | 81 | 78 | $4K | |
| 90473 | 319 | 314 | $4K | |
| 69210 | 138 | 136 | $3K | |
| 99238 | 66 | 65 | $3K | |
| 99212 | 78 | 77 | $2K | |
| 99215 | Prolong outpt/office vis | 13 | 12 | $1K |
| 90670 | 997 | 983 | $1K | |
| 90686 | 864 | 850 | $1K | |
| 96127 | 180 | 176 | $745.65 | |
| 90677 | 95 | 91 | $508.26 | |
| 96161 | 289 | 282 | $325.41 | |
| 90656 | 98 | 91 | $315.01 | |
| 90723 | 82 | 76 | $261.34 | |
| 90648 | 81 | 76 | $232.76 | |
| 96110 | 18 | 15 | $154.99 | |
| 90633 | 104 | 101 | $128.36 | |
| 90651 | 12 | 12 | $45.00 | |
| 36416 | 13 | 13 | $39.94 | |
| 90680 | 256 | 255 | $30.12 | |
| 90710 | 13 | 13 | $30.00 | |
| 85018 | 13 | 13 | $19.41 | |
| 90698 | 504 | 501 | $3.59 | |
| 90685 | 41 | 41 | $0.00 | |
| 90744 | 87 | 87 | $0.00 |