MID DAKOTA CLINIC, INC.
NPI: 1275587826
· BISMARCK, ND 58501
· 261Q00000X
$2.87M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,789 |
$701K |
| 2019 |
14,398 |
$621K |
| 2020 |
9,358 |
$475K |
| 2021 |
10,313 |
$620K |
| 2022 |
6,734 |
$453K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
31,106 |
24,781 |
$1.86M |
| S0302 |
Completed epsdt |
3,888 |
3,848 |
$491K |
| 99214 |
|
2,914 |
2,149 |
$252K |
| 90471 |
|
3,427 |
3,354 |
$51K |
| 90472 |
|
2,981 |
1,634 |
$46K |
| 71046 |
|
1,965 |
1,481 |
$44K |
| 99308 |
|
4,606 |
1,624 |
$31K |
| 99310 |
Prolong nursin fac eval 15m |
1,140 |
692 |
$24K |
| 99203 |
|
180 |
151 |
$16K |
| 77067 |
|
38 |
38 |
$10K |
| 84443 |
|
89 |
85 |
$6K |
| 99309 |
|
469 |
264 |
$6K |
| 99460 |
|
55 |
53 |
$5K |
| 99392 |
|
40 |
40 |
$4K |
| 11721 |
|
661 |
387 |
$4K |
| 99204 |
|
14 |
12 |
$3K |
| 99393 |
|
28 |
27 |
$3K |
| 76536 |
|
29 |
25 |
$3K |
| 99212 |
|
51 |
49 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$2K |
| 36415 |
|
1,056 |
951 |
$2K |
| 88305 |
|
24 |
12 |
$1K |
| 90474 |
|
80 |
80 |
$1K |
| 90670 |
|
357 |
355 |
$1K |
| 92567 |
|
132 |
112 |
$1K |
| 99238 |
|
16 |
14 |
$1K |
| 73630 |
|
40 |
25 |
$978.40 |
| 95251 |
|
75 |
54 |
$973.08 |
| 90686 |
|
576 |
554 |
$859.23 |
| 74018 |
|
29 |
26 |
$670.26 |
| 74019 |
|
13 |
12 |
$347.32 |
| 77063 |
|
25 |
25 |
$281.41 |
| 71045 |
|
15 |
13 |
$226.20 |
| 99307 |
|
64 |
33 |
$215.26 |
| 90688 |
|
70 |
69 |
$17.84 |
| 90672 |
|
25 |
25 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 99072 |
|
133 |
130 |
$0.00 |
| 84439 |
|
64 |
60 |
$0.00 |
| 90680 |
|
51 |
51 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |