NPI: 1275502577 · MOBRIDGE, SD 57601 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,702 | $551K |
| 2019 | 6,521 | $574K |
| 2020 | 3,795 | $294K |
| 2021 | 4,750 | $342K |
| 2022 | 4,489 | $334K |
| 2023 | 6,612 | $334K |
| 2024 | 6,138 | $373K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 17,743 | 14,526 | $1.74M | |
| 99214 | 3,698 | 3,245 | $328K | |
| 99284 | 1,530 | 1,402 | $154K | |
| 99283 | 1,256 | 1,178 | $131K | |
| 90471 | 2,789 | 2,665 | $110K | |
| W0037 | 4,218 | 4,218 | $46K | |
| 99392 | 365 | 360 | $40K | |
| 99212 | 422 | 362 | $40K | |
| 99391 | 323 | 295 | $34K | |
| 99238 | 328 | 263 | $24K | |
| 99308 | 406 | 271 | $21K | |
| 99282 | 201 | 189 | $20K | |
| 90472 | 1,755 | 1,693 | $20K | |
| 99393 | 169 | 165 | $20K | |
| 99232 | 208 | 81 | $15K | |
| 93010 | 168 | 143 | $13K | |
| 99222 | 199 | 129 | $12K | |
| 90658 | 228 | 205 | $11K | |
| 99394 | 77 | 74 | $9K | |
| 99307 | 210 | 171 | $8K | |
| 99285 | 27 | 25 | $3K | |
| 90474 | 40 | 39 | $1K | |
| 87880 | 29 | 26 | $1K | |
| 90715 | 86 | 81 | $905.56 | |
| 90670 | 596 | 579 | $449.40 | |
| 90680 | 102 | 100 | $0.00 | |
| 90647 | 78 | 76 | $0.00 | |
| 90723 | 399 | 393 | $0.00 | |
| 90657 | 112 | 106 | $0.00 | |
| 90677 | 72 | 71 | $0.00 | |
| 90688 | 57 | 56 | $0.00 | |
| 90686 | 100 | 98 | $0.00 | |
| 90674 | 14 | 14 | $0.00 | |
| 90651 | 61 | 59 | $0.00 | |
| 90733 | 52 | 47 | $0.00 | |
| 90656 | 64 | 59 | $0.00 | |
| 90480 | 16 | 13 | $0.00 | |
| 90696 | 25 | 25 | $0.00 | |
| 90649 | 69 | 61 | $0.00 | |
| 90734 | 46 | 44 | $0.00 | |
| 90685 | 64 | 61 | $0.00 | |
| 90648 | 350 | 339 | $0.00 | |
| 90710 | 99 | 99 | $0.00 | |
| 90633 | 65 | 64 | $0.00 | |
| 90756 | 42 | 40 | $0.00 | |
| 0071A | 22 | 21 | $0.00 | |
| 91322 | 15 | 12 | $0.00 | |
| 90473 | 12 | 12 | $0.00 |