NPI: 1053620187 · ROSEVILLE, MN 55113 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,009 | $10K |
| 2019 | 1,802 | $52K |
| 2020 | 222 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 863 | 796 | $35K | |
| 99213 | 550 | 510 | $17K | |
| S0302 | Completed epsdt | 376 | 359 | $5K |
| 90471 | 350 | 339 | $4K | |
| 90460 | 84 | 82 | $3K | |
| 36415 | 859 | 787 | $2K | |
| 96110 | 316 | 226 | $1K | |
| 99392 | 41 | 38 | $801.45 | |
| 99188 | 52 | 51 | $363.49 | |
| 90688 | 48 | 45 | $289.16 | |
| 90686 | 51 | 51 | $200.00 | |
| 92551 | 43 | 42 | $115.18 | |
| 99215 | Prolong outpt/office vis | 14 | 13 | $95.22 |
| 85018 | 13 | 12 | $31.35 | |
| 99173 | 39 | 38 | $21.41 | |
| X5622 | 320 | 311 | $0.00 | |
| 90461 | 14 | 13 | $0.00 |