NPI: 1194843284 · WINONA, MN 55987 · 332900000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,982 | $97K |
| 2019 | 2,056 | $88K |
| 2020 | 1,359 | $60K |
| 2021 | 703 | $28K |
| 2022 | 578 | $29K |
| 2023 | 777 | $24K |
| 2024 | 18 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S4993 | Contraceptive pills for bc | 2,177 | 1,743 | $195K |
| 99213 | 446 | 427 | $33K | |
| 99395 | 203 | 201 | $29K | |
| A4267 | Male condom | 1,355 | 1,317 | $20K |
| 99401 | 402 | 393 | $19K | |
| 81025 | 913 | 886 | $8K | |
| J1050 | Medroxyprogesterone acetate | 77 | 76 | $7K |
| 99385 | 38 | 38 | $6K | |
| 87210 | 633 | 610 | $4K | |
| 96372 | 196 | 173 | $3K | |
| 83986 | 646 | 623 | $2K | |
| 36415 | 257 | 249 | $967.18 | |
| J8499 | Oral prescrip drug non chemo | 63 | 53 | $307.41 |
| Q0144 | Azithromycin dihydrate, oral | 15 | 15 | $209.10 |
| 81002 | 28 | 26 | $93.96 | |
| 87591 | 12 | 12 | $88.40 | |
| 87491 | 12 | 12 | $88.40 |