NPI: 1235406455 · ABERDEEN, SD 57401 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,298 | $210K |
| 2019 | 5,716 | $193K |
| 2020 | 2,685 | $82K |
| 2021 | 7,121 | $301K |
| 2022 | 8,164 | $307K |
| 2023 | 7,079 | $355K |
| 2024 | 6,358 | $447K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J3490 | Drugs unclassified injection | 10,711 | 3,979 | $1.30M |
| G0463 | Hospital outpt clinic visit | 20,554 | 6,244 | $260K |
| 99283 | 1,343 | 1,266 | $74K | |
| 0241U | 353 | 343 | $65K | |
| 36415 | 639 | 536 | $40K | |
| 99284 | 879 | 816 | $37K | |
| 87081 | 529 | 519 | $35K | |
| A9270 | Non-covered item or service | 3,631 | 381 | $25K |
| 93005 | 1,341 | 105 | $13K | |
| 87651 | 569 | 561 | $11K | |
| 87502 | 139 | 137 | $9K | |
| 80053 | 239 | 221 | $8K | |
| 87426 | 172 | 164 | $7K | |
| G0008 | Admin influenza virus vac | 747 | 116 | $6K |
| 87631 | 46 | 45 | $5K | |
| 99285 | 44 | 41 | $974.65 | |
| 87880 | 625 | 614 | $852.88 | |
| 0124A | 237 | 32 | $784.93 | |
| 71045 | 14 | 13 | $510.01 | |
| 85025 | 447 | 402 | $182.51 | |
| 87210 | 17 | 13 | $155.28 | |
| Q3014 | Telehealth facility fee | 14 | 13 | $69.29 |
| G1004 | Cdsm ndsc | 18 | 16 | $0.01 |
| 90662 | 43 | 40 | $0.00 | |
| 83605 | 13 | 13 | $0.00 | |
| 90686 | 28 | 27 | $0.00 | |
| 83735 | 16 | 15 | $0.00 | |
| 87389 | 13 | 12 | $0.00 |