NPI: 1134173644 · FAIRMONT, MN 56031 · 164W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,447 | $28K |
| 2019 | 1,824 | $86K |
| 2020 | 692 | $32K |
| 2021 | 640 | $33K |
| 2022 | 1,863 | $75K |
| 2023 | 1,860 | $65K |
| 2024 | 636 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,811 | 2,151 | $123K | |
| 99214 | 2,346 | 1,551 | $100K | |
| 97110 | 2,901 | 860 | $68K | |
| 97140 | 2,503 | 754 | $51K | |
| 11721 | 128 | 120 | $4K | |
| 97161 | 30 | 26 | $1K | |
| 99000 | 60 | 51 | $768.43 | |
| 99212 | 14 | 13 | $527.19 | |
| 90471 | 12 | 12 | $190.98 | |
| 36415 | 76 | 68 | $125.00 | |
| 90686 | 12 | 12 | $77.64 | |
| 96372 | 41 | 38 | $62.24 | |
| 95117 | 28 | 26 | $0.00 |