NPI: 1043508492 · TRACY, MN 56175 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 33 | $1K |
| 2021 | 8,780 | $312K |
| 2022 | 1,793 | $66K |
| 2023 | 55 | $1K |
| 2024 | 14 | $318.05 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,831 | 1,511 | $103K | |
| 87811 | 1,674 | 1,510 | $69K | |
| 99204 | 739 | 630 | $58K | |
| 99213 | 1,477 | 1,290 | $55K | |
| 99203 | 513 | 470 | $24K | |
| 87804 | 613 | 515 | $18K | |
| 87635 | 243 | 226 | $12K | |
| 99212 | 326 | 306 | $8K | |
| 87426 | 197 | 189 | $7K | |
| 87880 | 368 | 291 | $6K | |
| 99000 | 222 | 203 | $5K | |
| 99215 | Prolong outpt/office vis | 50 | 46 | $4K |
| 81025 | 701 | 457 | $3K | |
| 87808 | 220 | 126 | $3K | |
| 81002 | 737 | 514 | $2K | |
| 87905 | 180 | 125 | $2K | |
| 99202 | 55 | 52 | $2K | |
| 96372 | 55 | 34 | $524.73 | |
| 87807 | 38 | 32 | $382.28 | |
| 36415 | 392 | 259 | $68.92 | |
| 99051 | 44 | 42 | $0.00 |