NPI: 1104829670 · OWATONNA, MN 55060 · 163WH0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,717 | $248K |
| 2019 | 6,284 | $256K |
| 2020 | 5,248 | $252K |
| 2021 | 5,605 | $228K |
| 2022 | 5,303 | $267K |
| 2023 | 6,511 | $366K |
| 2024 | 6,647 | $428K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G9005 | Mccd, risk adj, maintenance | 14,924 | 6,346 | $646K |
| T1016 | Case management | 7,945 | 2,176 | $577K |
| S5130 | Homaker service nos per 15m | 12,570 | 3,116 | $382K |
| S9123 | Nursing care in home rn | 1,464 | 868 | $200K |
| T1030 | Rn home care per diem | 702 | 197 | $91K |
| 98960 | 1,034 | 497 | $29K | |
| T1021 | Hh aide or cn aide per visit | 473 | 64 | $24K |
| S9445 | Pt education noc individ | 260 | 258 | $18K |
| 90662 | 337 | 335 | $14K | |
| 91322 | 119 | 118 | $14K | |
| T1015 | Clinic service | 422 | 411 | $13K |
| G0008 | Admin influenza virus vac | 773 | 770 | $8K |
| T1028 | Home environment assessment | 108 | 78 | $5K |
| 90688 | 377 | 375 | $4K | |
| 90480 | 118 | 117 | $4K | |
| 90460 | 175 | 174 | $3K | |
| 0012A | 163 | 162 | $2K | |
| M0201 | Pne flu hepb cov home admin | 76 | 76 | $2K |
| 0134A | 47 | 47 | $2K | |
| 0591T | 16 | 16 | $2K | |
| 0071A | 36 | 34 | $1K | |
| 0064A | 56 | 56 | $1K | |
| 0011A | 167 | 165 | $788.99 | |
| 90682 | 12 | 12 | $732.00 | |
| 36416 | 288 | 287 | $641.82 | |
| 0072A | 17 | 16 | $640.00 | |
| 0002A | 15 | 15 | $600.00 | |
| 0124A | 16 | 15 | $408.10 | |
| 90656 | 24 | 18 | $182.40 | |
| 83655 | 141 | 71 | $149.15 | |
| 91300 | 44 | 37 | $0.00 | |
| 91312 | 17 | 16 | $0.00 | |
| 91313 | 47 | 47 | $0.00 | |
| 91306 | 31 | 31 | $0.00 | |
| 91301 | 242 | 235 | $0.00 | |
| 91307 | 59 | 56 | $0.00 |