NPI: 1255462487 · ROBBINSDALE, MN 55422 · 261QF0050X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,764 | $362K |
| 2019 | 17,637 | $550K |
| 2020 | 9,757 | $313K |
| 2021 | 11,029 | $328K |
| 2022 | 11,379 | $322K |
| 2023 | 13,108 | $374K |
| 2024 | 8,402 | $236K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S4993 | Contraceptive pills for bc | 12,436 | 10,002 | $1.07M |
| 99213 | 3,966 | 3,800 | $274K | |
| 99401 | 5,215 | 4,806 | $214K | |
| 87591 | 6,037 | 4,105 | $179K | |
| 87491 | 6,036 | 4,106 | $179K | |
| G0433 | Elisa hiv-1/hiv-2 screen | 4,484 | 4,434 | $85K |
| A4267 | Male condom | 9,828 | 9,265 | $70K |
| 86780 | 5,149 | 5,082 | $68K | |
| J1050 | Medroxyprogesterone acetate | 554 | 540 | $64K |
| 81025 | 5,861 | 5,605 | $45K | |
| 99202 | 481 | 470 | $31K | |
| 99211 | 1,414 | 1,343 | $30K | |
| Q0144 | Azithromycin dihydrate, oral | 1,325 | 1,019 | $24K |
| 81002 | 6,732 | 6,438 | $21K | |
| 99203 | 196 | 192 | $18K | |
| 96372 | 1,190 | 1,151 | $18K | |
| J8499 | Oral prescrip drug non chemo | 4,221 | 3,075 | $17K |
| 87210 | 2,819 | 2,708 | $15K | |
| 36416 | 5,219 | 5,161 | $15K | |
| J7303 | Contraceptive vaginal ring | 29 | 27 | $13K |
| 99212 | 251 | 245 | $11K | |
| 83986 | 2,091 | 2,014 | $7K | |
| 86703 | 629 | 578 | $7K | |
| 99214 | 73 | 71 | $7K | |
| 99072 | 749 | 660 | $2K | |
| 99441 | 19 | 19 | $650.10 | |
| 87808 | 29 | 29 | $318.63 | |
| J0696 | Ceftriaxone sodium injection | 31 | 29 | $21.26 |
| 98966 | 12 | 12 | $0.00 |