NPI: 1316054935 · MARTIN, SD 57551 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,877 | $874K |
| 2019 | 5,457 | $802K |
| 2020 | 2,666 | $302K |
| 2021 | 3,749 | $467K |
| 2022 | 3,275 | $361K |
| 2023 | 3,995 | $233K |
| 2024 | 3,842 | $286K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 9,378 | 7,766 | $1.52M | |
| 99214 | 4,406 | 3,699 | $630K | |
| 90471 | 1,688 | 1,595 | $162K | |
| 87880 | 819 | 756 | $140K | |
| 36415 | 2,161 | 1,843 | $125K | |
| 99212 | 715 | 634 | $101K | |
| 87804 | 560 | 263 | $96K | |
| 85025 | 611 | 547 | $94K | |
| W0037 | 4,573 | 4,573 | $93K | |
| 90686 | 501 | 489 | $68K | |
| 99394 | 384 | 359 | $67K | |
| 80053 | 300 | 275 | $44K | |
| 99393 | 240 | 225 | $43K | |
| 99000 | 218 | 203 | $37K | |
| 81003 | 127 | 119 | $21K | |
| 90472 | 637 | 607 | $16K | |
| 99188 | 282 | 268 | $14K | |
| 90651 | 219 | 211 | $10K | |
| 99392 | 49 | 48 | $8K | |
| Q3014 | Telehealth facility fee | 346 | 238 | $8K |
| 96372 | 103 | 80 | $6K | |
| 87807 | 31 | 31 | $5K | |
| 80061 | 27 | 26 | $4K | |
| G0467 | Fqhc visit, estab pt | 111 | 60 | $3K |
| 94640 | 14 | 14 | $3K | |
| 99202 | 13 | 13 | $2K | |
| 83036 | 14 | 14 | $2K | |
| 90734 | 148 | 136 | $0.00 | |
| 90715 | 63 | 56 | $0.00 | |
| 90707 | 13 | 13 | $0.00 | |
| 90661 | 14 | 13 | $0.00 | |
| 90716 | 12 | 12 | $0.00 | |
| 36416 | 14 | 12 | $0.00 | |
| 90656 | 37 | 37 | $0.00 | |
| 90620 | 14 | 13 | $0.00 | |
| 90674 | 19 | 17 | $0.00 |