PARK NICOLLET METHODIST HOSPITAL
NPI: 1174980692
· MAPLE GROVE, MN 55369
· 282N00000X
$31.35
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
29 |
$0.00 |
| 2024 |
109 |
$31.35 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2704 |
Inj, propofol, 10 mg |
26 |
13 |
$11.43 |
| J7120 |
Ringers lactate infusion |
14 |
14 |
$10.20 |
| J3010 |
Fentanyl citrate injection |
27 |
26 |
$3.76 |
| J1885 |
Ketorolac tromethamine inj |
14 |
14 |
$2.40 |
| J1100 |
Dexamethasone sodium phos |
17 |
14 |
$2.12 |
| J2405 |
Ondansetron hcl injection |
24 |
14 |
$1.44 |
| J2250 |
Inj midazolam hydrochloride |
16 |
12 |
$0.00 |