NPI: 1174141485 · WINDOM, MN 56101 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 18 | $4K |
| 2021 | 4,427 | $411K |
| 2022 | 2,998 | $413K |
| 2023 | 2,574 | $421K |
| 2024 | 1,964 | $349K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,252 | 4,219 | $1.19M | |
| 99214 | 1,319 | 1,190 | $280K | |
| X5622 | 475 | 464 | $73K | |
| 99391 | 319 | 307 | $33K | |
| 99392 | 121 | 120 | $13K | |
| 99188 | 118 | 116 | $7K | |
| 91307 | 19 | 12 | $961.80 | |
| 99393 | 15 | 15 | $102.09 | |
| G2211 | Complex e/m visit add on | 53 | 50 | $76.35 |
| 71046 | 16 | 14 | $38.01 | |
| 90656 | 49 | 47 | $20.02 | |
| 90686 | 297 | 287 | $19.98 | |
| 90670 | 122 | 118 | $0.00 | |
| 90472 | 453 | 438 | $0.00 | |
| 99173 | 384 | 375 | $0.00 | |
| 85014 | 29 | 27 | $0.00 | |
| 92552 | 37 | 36 | $0.00 | |
| 90471 | 1,126 | 1,080 | $0.00 | |
| 96110 | 434 | 425 | $0.00 | |
| 36415 | 637 | 555 | $0.00 | |
| V5008 | Hearing screening | 300 | 292 | $0.00 |
| 87651 | 153 | 139 | $0.00 | |
| 90723 | 60 | 60 | $0.00 | |
| 90647 | 62 | 60 | $0.00 | |
| 81001 | 12 | 12 | $0.00 | |
| 85018 | 29 | 27 | $0.00 | |
| 0241U | 58 | 57 | $0.00 | |
| 0011A | 14 | 14 | $0.00 | |
| 0012A | 18 | 18 | $0.00 |