CDI TWIN CITIES ASC LLC
NPI: 1245207687
· ST LOUIS PARK, MN 55416
· 261QA1903X
$873.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
100 |
$9.84 |
| 2020 |
162 |
$36.24 |
| 2021 |
86 |
$15.58 |
| 2022 |
41 |
$8.36 |
| 2023 |
381 |
$312.94 |
| 2024 |
203 |
$490.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
150 |
104 |
$481.90 |
| J2250 |
Inj midazolam hydrochloride |
382 |
315 |
$230.16 |
| J3010 |
Fentanyl citrate injection |
308 |
269 |
$158.70 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$2.44 |
| 99152 |
|
81 |
70 |
$0.00 |
| A4550 |
Surgical trays |
40 |
30 |
$0.00 |