Supplier
Fond Du Lac Reservation Business Committee
Fond Du Lac Reservation Business Committee was paid $25.84M by Medicaid between Jan 2018 and Oct 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoFOND DU LAC RESERVATION BUSINESS COMMITTEE
CLOQUET, MN 55720
CLOQUET, MN 55720
33aNPI1326053166assigned 07/30/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$25.84M
24GClaims104,522
24DCodes billed89
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
Rank by total paid#7 of 319
Median peer was paid$23K
This provider vs. median1,115×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 24,199 | $4.57M | |
| 2019 | 20,628 | $4.50M | |
| 2020 | 14,503 | $3.47M | |
| 2021 | 21,420 | $4.96M | |
| 2022 | 12,628 | $3.70M | |
| 2023 | 7,474 | $2.79M | |
| 2024incomplete | 3,670 | $1.85M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 11,405 | 9,827 | $5.20M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 7,658 | 7,061 | $3.64M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 13% | 8,021 | 1,736 | $3.42M |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 9.2% | 4,463 | 2,007 | $2.37M |
| 99441 | 5.6% | 2,864 | 2,597 | $1.44M | |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 4.6% | 5,503 | 1,903 | $1.19M |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 3.0% | 1,424 | 1,099 | $772K |
| 98940 | 3.0% | 1,743 | 1,248 | $764K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 3,012 | 2,794 | $636K |
| 99442 | 2.2% | 1,146 | 1,076 | $556K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.9% | 1,821 | 887 | $499K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 2,183 | 1,904 | $484K |
77 more codes
| 92015 | Determination of refractive state | 1.8% | 1,494 | $457K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.4% | 726 | $374K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,610 | $371K |
| D1110 | Prophylaxis - adult | 1.3% | 1,273 | $336K |
| D0274 | Bitewings - four radiographic images | 1.2% | 1,526 | $317K |
| 0011A | 1.0% | 561 | $262K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,953 | $255K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 551 | $252K |
| 0012A | <1% | 499 | $240K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 476 | $217K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 462 | $206K |
| D1206 | Topical application of fluoride varnish | <1% | 3,008 | $204K |
| D0330 | Panoramic radiographic image | <1% | 919 | $158K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,517 | $144K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 812 | $135K |
| D1120 | Dental cleaning, child | <1% | 581 | $130K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 244 | $112K |
| 99443 | <1% | 241 | $111K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 276 | $74K |
| 0013A | <1% | 139 | $70K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 253 | $55K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 935 | $51K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 402 | $49K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,259 | $48K |
| 92002 | <1% | 148 | $33K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 366 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 64 | $28K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 161 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 92 | $18K |
| D0272 | Bitewings - two radiographic images | <1% | 86 | $17K |
| 90688 | <1% | 717 | $14K | |
| 0134A | <1% | 36 | $12K | |
| D1351 | Sealant - per tooth | <1% | 246 | $12K |
| 90686 | <1% | 831 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 32 | $10K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 14 | $7K |
| 93000 | <1% | 118 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 418 | $5K |
| 0064A | <1% | 18 | $4K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $4K |
| D0270 | <1% | 31 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 46 | $3K |
| 90461 | <1% | 990 | $2K | |
| 90633 | <1% | 155 | $2K | |
| 90723 | <1% | 261 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $2K |
| 90670 | <1% | 590 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 388 | $1K |
| 90715 | <1% | 169 | $974.00 | |
| 90651 | <1% | 155 | $427.00 | |
| 90647 | <1% | 323 | $427.00 | |
| 90685 | <1% | 42 | $427.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,705 | $408.10 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,222 | $314.40 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,249 | $257.01 |
| 82962 | <1% | 4,755 | $215.75 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,982 | $79.95 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 364 | $36.41 |
| 81001 | <1% | 858 | $22.16 | |
| 81003 | <1% | 1,008 | $8.61 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 45 | $4.09 |
| 36416 | 0% | 159 | $0.00 | |
| 85018 | 0% | 426 | $0.00 | |
| 82044 | 0% | 156 | $0.00 | |
| D9995 | 0% | 34 | $0.00 | |
| 82043 | 0% | 42 | $0.00 | |
| 80305 | 0% | 592 | $0.00 | |
| 81025 | 0% | 1,356 | $0.00 | |
| 90734 | 0% | 55 | $0.00 | |
| 87210 | 0% | 1,007 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,736 | $0.00 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 0% | 44 | $0.00 |
| 90672 | 0% | 26 | $0.00 | |
| 90710 | 0% | 50 | $0.00 | |
| 82570 | 0% | 122 | $0.00 | |
| 90750 | 0% | 15 | $0.00 | |
| 86703 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGROVER, MARILYN (ASSOCIATE DIRECTOR)