NPI: 1114343423 · GRAND FORKS, ND 58201 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,711 | $141K |
| 2019 | 2,469 | $196K |
| 2020 | 3,164 | $285K |
| 2021 | 7,266 | $520K |
| 2022 | 5,878 | $610K |
| 2023 | 7,639 | $818K |
| 2024 | 6,271 | $653K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 11,614 | 9,167 | $1.91M | |
| 99213 | 5,910 | 4,492 | $781K | |
| H2035 | A/d tx program, per hour | 1,927 | 801 | $186K |
| 80305 | 6,063 | 4,453 | $68K | |
| 90837 | 389 | 297 | $56K | |
| 90834 | 436 | 238 | $46K | |
| 90832 | 396 | 287 | $41K | |
| 92014 | 201 | 191 | $35K | |
| 99215 | Prolong outpt/office vis | 40 | 37 | $15K |
| H0001 | Alcohol and/or drug assess | 69 | 69 | $14K |
| 90471 | 1,286 | 1,080 | $11K | |
| G2023 | Specimen collect covid-19 | 543 | 411 | $10K |
| 96372 | 381 | 343 | $6K | |
| 0012A | 128 | 126 | $5K | |
| 99188 | 122 | 106 | $5K | |
| 36415 | 2,250 | 1,911 | $5K | |
| Q3014 | Telehealth facility fee | 157 | 123 | $4K |
| 0011A | 153 | 150 | $4K | |
| 99204 | 12 | 12 | $3K | |
| 87801 | 49 | 40 | $3K | |
| 99203 | 15 | 14 | $3K | |
| 90472 | 700 | 206 | $2K | |
| 98941 | 31 | 17 | $2K | |
| 0002A | 32 | 25 | $2K | |
| 0001A | 38 | 37 | $2K | |
| 91322 | 19 | 19 | $1K | |
| 92015 | 172 | 167 | $1K | |
| 90686 | 390 | 307 | $1K | |
| 90480 | 72 | 68 | $1K | |
| 0064A | 15 | 15 | $1K | |
| 86480 | 18 | 12 | $884.20 | |
| 90673 | 17 | 16 | $788.61 | |
| 86580 | 68 | 38 | $554.89 | |
| 86803 | 19 | 13 | $218.39 | |
| 86703 | 20 | 14 | $209.81 | |
| G0467 | Fqhc visit, estab pt | 59 | 49 | $199.92 |
| 86592 | 20 | 14 | $65.33 | |
| 91300 | 116 | 93 | $0.00 | |
| 90633 | 14 | 14 | $0.00 | |
| 90713 | 20 | 12 | $0.00 | |
| 91301 | 329 | 310 | $0.00 | |
| 90651 | 13 | 13 | $0.00 | |
| 91306 | 15 | 15 | $0.00 | |
| 90656 | 45 | 43 | $0.00 | |
| 90744 | 15 | 14 | $0.00 |