NPI: 1114472891 · FORT TOTTEN, ND 58335 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,246 | $1.52M |
| 2019 | 5,860 | $1.89M |
| 2020 | 4,428 | $1.72M |
| 2021 | 9,490 | $2.98M |
| 2022 | 7,557 | $3.15M |
| 2023 | 6,000 | $2.72M |
| 2024 | 4,799 | $2.59M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 34,714 | 28,179 | $15.23M | |
| 90837 | 1,479 | 1,124 | $721K | |
| 99211 | 363 | 355 | $159K | |
| D1206 | 223 | 222 | $153K | |
| 99214 | 1,380 | 1,242 | $129K | |
| D0140 | 147 | 141 | $95K | |
| D1110 | 18 | 18 | $10K | |
| D1120 | 17 | 17 | $10K | |
| 4270 | 245 | 214 | $9K | |
| Q3014 | Telehealth facility fee | 254 | 187 | $8K |
| 42700 | 15 | 15 | $6K | |
| 90471 | 397 | 358 | $5K | |
| 0012A | 252 | 189 | $4K | |
| 0011A | 231 | 189 | $4K | |
| 99215 | Prolong outpt/office vis | 33 | 25 | $4K |
| 99203 | 32 | 32 | $3K | |
| 0002A | 118 | 70 | $3K | |
| 0031A | 125 | 69 | $2K | |
| 80048 | 634 | 573 | $2K | |
| 0001A | 102 | 65 | $2K | |
| 80076 | 380 | 359 | $2K | |
| 0064A | 29 | 29 | $2K | |
| 83036 | 318 | 301 | $1K | |
| 85025 | 409 | 374 | $1K | |
| 36415 | 1,101 | 969 | $1K | |
| H0016 | Alcohol and/or drug services | 17 | 12 | $1K |
| 80061 | 123 | 115 | $1K | |
| 91320 | 18 | 18 | $1K | |
| 0004A | 12 | 12 | $630.52 | |
| 90688 | 241 | 209 | $571.62 | |
| 84443 | 41 | 39 | $502.84 | |
| 0124A | 16 | 12 | $413.15 | |
| 82306 | 13 | 13 | $391.12 | |
| 87635 | 16 | 16 | $384.80 | |
| 90686 | 20 | 20 | $265.59 | |
| 0134A | 13 | 13 | $247.89 | |
| A0080 | Noninterest escort in non er | 17 | 13 | $201.84 |
| 81003 | 76 | 66 | $92.57 | |
| 91300 | 195 | 101 | $0.00 | |
| 91301 | 416 | 332 | $0.00 | |
| 91303 | 117 | 63 | $0.00 | |
| 90694 | 13 | 13 | $0.00 |