NPI: 1043284714 · EAGLE BUTTE, SD 57625 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,984 | $78K |
| 2019 | 2,467 | $69K |
| 2020 | 957 | $27K |
| 2021 | 1,151 | $33K |
| 2022 | 1,307 | $46K |
| 2023 | 2,327 | $58K |
| 2024 | 2,192 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,973 | 4,715 | $259K | |
| 99212 | 1,173 | 957 | $32K | |
| 99394 | 212 | 201 | $16K | |
| 90471 | 1,611 | 1,411 | $15K | |
| 90472 | 665 | 588 | $15K | |
| 99309 | 368 | 334 | $13K | |
| 99393 | 162 | 149 | $10K | |
| 99392 | 141 | 136 | $10K | |
| W0037 | 1,821 | 1,821 | $5K | |
| 99391 | 31 | 28 | $2K | |
| 36415 | 377 | 324 | $1K | |
| 99202 | 27 | 24 | $1K | |
| 90674 | 97 | 96 | $778.35 | |
| 90658 | 162 | 151 | $234.91 | |
| 90670 | 45 | 36 | $172.51 | |
| 81003 | 15 | 13 | $42.64 | |
| 90686 | 123 | 112 | $34.96 | |
| 90734 | 32 | 25 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 90655 | 31 | 29 | $0.00 | |
| 90648 | 46 | 37 | $0.00 | |
| 90669 | 85 | 81 | $0.00 | |
| 90707 | 17 | 17 | $0.00 | |
| 90649 | 20 | 14 | $0.00 | |
| 90723 | 43 | 41 | $0.00 | |
| 90680 | 13 | 13 | $0.00 | |
| 90716 | 17 | 17 | $0.00 | |
| 90645 | 45 | 43 | $0.00 | |
| 90651 | 21 | 21 | $0.00 |