NPI: 1245314533 · MINOT, ND 58701 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,578 | $106K |
| 2019 | 4,207 | $102K |
| 2020 | 2,289 | $38K |
| 2021 | 4,742 | $63K |
| 2022 | 2,944 | $30K |
| 2023 | 2,452 | $30K |
| 2024 | 2,441 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0302 | Completed epsdt | 1,184 | 1,151 | $143K |
| 90471 | 7,272 | 6,960 | $110K | |
| 90472 | 1,829 | 1,749 | $46K | |
| 91320 | 399 | 361 | $17K | |
| 0001A | 433 | 392 | $12K | |
| 0002A | 380 | 348 | $11K | |
| T1002 | Rn services up to 15 minutes | 379 | 300 | $7K |
| 0003A | 127 | 94 | $7K | |
| 90686 | 3,600 | 3,460 | $6K | |
| 36416 | 887 | 864 | $6K | |
| 96110 | 486 | 465 | $5K | |
| 90480 | 442 | 401 | $4K | |
| 90651 | 393 | 381 | $4K | |
| 0064A | 71 | 63 | $4K | |
| 0124A | 150 | 146 | $3K | |
| 0012A | 85 | 85 | $3K | |
| 0011A | 86 | 86 | $2K | |
| 90656 | 544 | 492 | $2K | |
| S0390 | Rout foot care per visit | 91 | 76 | $1K |
| 0054A | 74 | 71 | $1K | |
| 0071A | 70 | 68 | $1K | |
| 90734 | 553 | 542 | $1K | |
| 0072A | 50 | 47 | $759.92 | |
| 90715 | 197 | 188 | $629.09 | |
| D1206 | 64 | 62 | $610.00 | |
| 99188 | 24 | 24 | $600.00 | |
| 0052A | 29 | 28 | $512.18 | |
| 87491 | 54 | 53 | $420.00 | |
| 90688 | 365 | 364 | $362.90 | |
| 90621 | 234 | 230 | $300.34 | |
| 86703 | 54 | 53 | $287.94 | |
| 0031A | 17 | 13 | $268.80 | |
| 0051A | 15 | 14 | $264.35 | |
| 90756 | 34 | 33 | $142.45 | |
| 86780 | 37 | 37 | $120.00 | |
| 90653 | 65 | 60 | $117.40 | |
| 90694 | 34 | 27 | $54.67 | |
| 36415 | 13 | 13 | $22.12 | |
| 91300 | 971 | 798 | $0.00 | |
| 90670 | 14 | 14 | $0.00 | |
| 90633 | 103 | 98 | $0.00 | |
| 90710 | 49 | 42 | $0.00 | |
| 91312 | 115 | 111 | $0.00 | |
| 91305 | 208 | 198 | $0.00 | |
| 91307 | 143 | 124 | $0.00 | |
| 96127 | 658 | 647 | $0.00 | |
| 91301 | 218 | 209 | $0.00 | |
| G0008 | Admin influenza virus vac | 199 | 171 | $0.00 |
| 91303 | 17 | 13 | $0.00 | |
| 96161 | 12 | 12 | $0.00 | |
| 90696 | 27 | 27 | $0.00 | |
| 91306 | 71 | 63 | $0.00 | |
| 90647 | 13 | 13 | $0.00 | |
| 90723 | 14 | 14 | $0.00 |