NPI: 1134218738 · BRAINERD, MN 56401 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43 | $0.00 |
| 2019 | 34 | $0.00 |
| 2020 | 402 | $9K |
| 2021 | 343 | $8K |
| 2022 | 106 | $59.87 |
| 2023 | 137 | $202.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99606 | 330 | 180 | $7K | |
| 99607 | 77 | 75 | $5K | |
| 99605 | 109 | 93 | $5K | |
| 91322 | 32 | 32 | $136.98 | |
| 90686 | 54 | 54 | $43.20 | |
| 90480 | 32 | 32 | $41.34 | |
| 0124A | 32 | 32 | $40.50 | |
| 90682 | 36 | 36 | $0.00 | |
| 0013A | 55 | 55 | $0.00 | |
| 90662 | 12 | 12 | $0.00 | |
| 90674 | 39 | 39 | $0.00 | |
| G0008 | Admin influenza virus vac | 178 | 177 | $0.00 |
| 0011A | 40 | 40 | $0.00 | |
| 0012A | 39 | 39 | $0.00 |